Individual provider · Type 1 NPI

Ira Lee Sidwell, DMD

General Practice Dentistry · Brentwood, TN

NPI number 1114907201 Active

Practice location

1195 Old Hickory Blvd, Ste. 205
Brentwood, TN 37027-4239

Fax (615) 269-6384

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDS3767 (TN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1114907201

Ira Lee Sidwell, DMD's National Provider Identifier is 1114907201, issued on Jan 17, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Brentwood, TN. The record was last updated on Mar 4, 2014.