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Pediatric Dentistry Of Lebanon,pllc
Pediatric Dentist in Lebanon, Tennessee
NPI 1710434204

Pediatric Dentistry Of Lebanon,pllc is a Pediatric Dentist based in Lebanon, TN and is specialized in Pediatric Dentistry. Pediatric Dentistry Of Lebanon,pllc practices in Lebanon, TN. The NPI Number for Pediatric Dentistry Of Lebanon,pllc is 1710434204 and holds a License No. 8973 (Tennessee).

The current practice location address for Pediatric Dentistry Of Lebanon,pllc is 103 Physicians Way, Lebanon, TN and can be reached out via phone at 615-545-1812.

Location: 103 Physicians Way, Lebanon, TN, 37090-4132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710434204
Provider Name
Pediatric Dentistry Of Lebanon,pllc
Credential
Provider Entity Type
Organization
Address
103 Physicians Way, Lebanon, TN, 37090-4132
Phone Number
615-545-1812
Fax Number
Provider Enumeration Date
09/01/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1514855 05 TN
institution
Provider Business Practice Location Address Details
Address
103 Physicians Way
City
Lebanon
State
Tennessee
Zip
37090-4132
Phone Number
615-545-1812
Fax Number
person
Provider Business Mailing Address Details
Address
103 Physicians Way
City
Lebanon
State
Tennessee
Zip
37090-4132
Phone Number
615-545-1812
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
8973 (Tennessee)
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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