person
Dr. Bradley Matthew Farrow, DMD
Pediatric Dentist in Thompsons Station, Tennessee
NPI 1124195250

Bradley Matthew Farrow is a Pediatric Dentist based in Thompsons Station, TN and is specialized in Pediatric Dentistry. Bradley Matthew Farrow practices in Thompsons Station, TN and has the professional credentials of DMD. The NPI Number for Bradley Matthew Farrow is 1124195250 and holds a License No. DN012381 (Tennessee).

The current practice location address for Bradley Matthew Farrow is 4720 Traders Way, Thompsons Station, TN and can be reached out via phone at 615-595-1559 and via fax at 615-595-9945.

Location: 4720 Traders Way, Thompsons Station, TN, 37179-5366
person
Provider Profile Details
NPI Number
1124195250
Provider Name
Bradley Matthew Farrow
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4720 Traders Way, Thompsons Station, TN, 37179-5366
Phone Number
615-595-1559
Fax Number
615-595-9945
Provider Enumeration Date
11/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100916 01 GA AVESIS MEDICAID
1516786 05 TN
9183408 01 GA DORAL MEDICAID
1516786 01 TN TENNCARE
605327619A 05 GA
institution
Provider Business Practice Location Address Details
Address
4720 Traders Way
City
State
Zip
37179-5366
Phone Number
615-595-1559
Fax Number
615-595-9945
person
Provider Business Mailing Address Details
Address
4720 Traders Way
City
State
Zip
37179-5366
Phone Number
615-595-1559
Fax Number
615-595-9945
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
DN012381 (Georgia)
Definition
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.
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