| Glowing Smiles Pediatric Dentistry | |
|
1019 Beaty Blvd Ste 600 Gallatin TN 37066-4765 | |
| (615) 989-6611 | |
| Not Available |
| Full Name | Glowing Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1019 Beaty Blvd Ste 600, Gallatin, Tennessee |
| Authorized Official Name and Position | Bora Kim (PEDIATRIC DENTIST) |
| Authorized Official Contact | 4234008923 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glowing Smiles Pediatric Dentistry 375 Big Creek Ln Ringgold GA 30736-8562 Ph: (423) 400-8923 | Glowing Smiles Pediatric Dentistry 1019 Beaty Blvd Ste 600 Gallatin TN 37066-4765 Ph: (615) 989-6611 |
| NPI Number | 1528773538 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528773538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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