Brentwood Pediatric Dentistry, Llc | |
95 Seaboard Ln Suite 102 Brentwood TN 37027-3031 | |
(615) 377-3080 | |
(615) 377-3088 |
Full Name | Brentwood Pediatric Dentistry, Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 95 Seaboard Ln, Brentwood, Tennessee |
Authorized Official Name and Position | Ryan A Cregger (DDS/OWNER) |
Authorized Official Contact | 6153773080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brentwood Pediatric Dentistry, Llc 95 Seaboard Ln Suite 102 Brentwood TN 37027-3031 Ph: (615) 377-3080 | Brentwood Pediatric Dentistry, Llc 95 Seaboard Ln Suite 102 Brentwood TN 37027-3031 Ph: (615) 377-3080 |
NPI Number | 1730481540 |
---|---|
Provider Enumeration Date | 11/30/2010 |
Last Update Date | 11/30/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730481540 | NPI | - | NPPES |
1509457 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | DS8825 (Tennessee) | Primary |
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