| Trailhead Pediatric Dentistry | |
|
124 Goodview Way Ste B Gallatin TN 37066-3125 | |
| (270) 218-0708 | |
| Not Available |
| Full Name | Trailhead Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 124 Goodview Way Ste B, Gallatin, Tennessee |
| Authorized Official Name and Position | Jonathan David Shadburne (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2702180708 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trailhead Pediatric Dentistry 809 Dunbar Ct Goodlettsville TN 37072-1496 Ph: (270) 218-0708 | Trailhead Pediatric Dentistry 124 Goodview Way Ste B Gallatin TN 37066-3125 Ph: (270) 218-0708 |
| NPI Number | 1740851492 |
|---|---|
| Provider Enumeration Date | 07/04/2021 |
| Last Update Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740851492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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