EAST NASHVILLE PEDIATRIC DENTISTRY PLLC NPI 1326685132

NPI Information

EAST NASHVILLE PEDIATRIC DENTISTRY, PLLC is a pediatric dentistry dentist in Nashville, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. EAST NASHVILLE PEDIATRIC DENTISTRY, PLLC NPI is 1326685132. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1077 E TRINITY LN STE 104
NASHVILLE, TN
ZIP 37216-067
Phone: (615) 669-4858
Fax: (615) 669-4859

The provider's authorized official is Marissa Sandidge .
The authorized official title is Pediatric Dentist and has the following contact phone number (770) 633-6566.

The CLIA number assigned to this NPI record is 44D2070823 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2019 and was last updated on 11/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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