Organization · Type 2 NPI

Hermitage Pediatric Dentistry

Dental Clinic/Center · Hermitage, TN

NPI number 1174852958 Active

Practice location

107 Bonnabrook Dr
Hermitage, TN 37076-1910

Call (615) 889-1654 Map

Fax (615) 316-9197

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X8202 (TN)

Dental Clinic/Center: Definition to come...

4 other providers at this address

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About NPI 1174852958

Hermitage Pediatric Dentistry's National Provider Identifier is 1174852958, issued on Dec 8, 2009. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Hermitage, TN. The record was last updated on Dec 8, 2009.