CHILDRENS DENTISTRY OF MURFREESBORO PLLC NPI 1548463466

NPI Information

CHILDRENS DENTISTRY OF MURFREESBORO PLLC is a pediatric dentistry dentist in Murfreesboro, 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. CHILDRENS DENTISTRY OF MURFREESBORO PLLC NPI is 1548463466. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

538 BRANDIES CIRCLE
SUITE 102
MURFREESBORO, TN
ZIP 37128
Phone: (901) 484-3812

The provider's authorized official is Jack Daniel Mallette .
The authorized official title is Owner-provider and has the following contact phone number (901) 484-3812.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 8/22/2020.

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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