| South Grove Dental | |
|
6690 Nolensville Rd Ste 104 Brentwood TN 37027-8803 | |
| (615) 768-3251 | |
| (615) 241-3009 |
| Full Name | South Grove Dental |
|---|---|
| Speciality | Dentist |
| Location | 6690 Nolensville Rd Ste 104, Brentwood, Tennessee |
| Authorized Official Name and Position | Mary Pu (VP OF FINANCE) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Grove Dental Po Box 734753 Dallas TX 75373-4753 Ph: (615) 768-3251 | South Grove Dental 6690 Nolensville Rd Ste 104 Brentwood TN 37027-8803 Ph: (615) 768-3251 |
| NPI Number | 1699183327 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699183327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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