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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