Organization · Type 2 NPI

Gustavo Moretta Dentistry, PLLC

Dental Clinic/Center · Hixson, TN

NPI number 1104621820 Active

Practice location

5606 Highway 153
Hixson, TN 37343-3725

Fax (423) 877-1334

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

5 other providers at this address

Big Ridge Family and Cosmetic Dentistry, PLLCDental Clinic/Center Hixson, TN NPI 1356676829
Garrett C. Soulen, DDSGeneral Practice Dentistry Hixson, TN NPI 1326243882
Gustavo Daniel Moretta, DDSGeneral Practice Dentistry Hixson, TN NPI 1598544025
Nicholas J. Wentz, DDSGeneral Practice Dentistry Hixson, TN NPI 1669668216
Nina L. Verstrat, DDSGeneral Practice Dentistry Hixson, TN NPI 1568658185

Other dental clinic/center providers in Hixson

See all in Hixson →

NPI record

NPI: 1104621820
Entity type: Organization (Type 2)
Issued: Feb 17, 2025
Last updated: Feb 17, 2025
Status: Active

Other names

Big Ridge Family and Cosmetic Dentistry · doing business as
Brush House Dental · doing business as

Authorized official

Dr. Gustavo Daniel Moretta, DDS
Owner
(423) 877-1334

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104621820

Gustavo Moretta Dentistry, PLLC's National Provider Identifier is 1104621820, issued on Feb 17, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hixson, TN. The record was last updated on Feb 17, 2025.