Knoxville Pediatric Dentistry | |
95 Seaboard Ln Ste 102 Brentwood TN 37027-3037 | |
(504) 638-0303 | |
Not Available |
Full Name | Knoxville Pediatric Dentistry |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 95 Seaboard Ln Ste 102, Brentwood, Tennessee |
Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 5046380303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Knoxville Pediatric Dentistry 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (504) 638-0303 | Knoxville Pediatric Dentistry 95 Seaboard Ln Ste 102 Brentwood TN 37027-3037 Ph: (504) 638-0303 |
NPI Number | 1639720295 |
---|---|
Provider Enumeration Date | 09/25/2019 |
Last Update Date | 10/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639720295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
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