| |
1800 W End Ave Ste 102 Nashville TN 37203-2506 | |
(615) 327-4904 | |
(615) 320-5836 |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 1800 W End Ave Ste 102, Nashville, Tennessee |
Authorized Official Name and Position | Ivana K. Hrstic (DENTIST) |
Authorized Official Contact | 6153274904 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
1800 W End Ave Ste 102 Nashville TN 37203-2506 Ph: (615) 327-4904 | 1800 W End Ave Ste 102 Nashville TN 37203-2506 Ph: (615) 327-4904 |
NPI Number | 1699281790 |
---|---|
Provider Enumeration Date | 12/27/2017 |
Last Update Date | 12/27/2017 |
Medicare PECOS PAC ID | 7214287929 |
---|---|
Medicare Enrollment ID | O20180928000124 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699281790 | NPI | - | NPPES |
9177384 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 8146 (Tennessee) | Primary |
Provider Name | Ivana Hrstic |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1225001134 PECOS PAC ID: 8820377161 Enrollment ID: I20180801002595 |
Meharry Medical College, School Of Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Db Todd Blvd, Meharry Medical College, School Of Dentistry 1007db Tod, Nashville, TN 37208 Phone: 615-327-6360 Fax: 615-327-6360 | |
Access Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Patterson St, Nashville, TN 37203 Phone: 615-678-8965 | |
Tn Dental Professionals Ii Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1214 Gallatin Ave Ste 115, Nashville, TN 37206 Phone: 615-620-5990 | |