# HERMITAGE MODERN DENTISTRY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HERMITAGE MODERN DENTISTRY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063086080
- **Authorized official:** ALEXANDRA FILI DMD (OWNER DENTIST)
- **Authorized official phone:** (714) 845-8890

## Contact information

- **Practice address:** 4730 LEBANON PIKE STE 101, HERMITAGE, TN 37076-1313
- **Practice address phone:** (615) 219-5722
- **Practice address fax:** (615) 203-0752
- **Mailing address:** 17000 RED HILL AVE, IRVINE, CA 92614-5626
- **Mailing address phone:** (714) 845-8890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2021
- **Last updated:** 05/14/2021