# THE PRACTICE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134718869
- **Authorized official:** MATTHEW KASIAR DMD (OWNER)
- **Authorized official phone:** (618) 841-0971

## Contact information

- **Practice address:** 1738 FONTANELLA DR, BRENTWOOD, TN 37027-2502
- **Practice address phone:** (618) 841-0971
- **Mailing address:** 1738 FONTANELLA DR, BRENTWOOD, TN 37027-2502

## Taxonomy

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

## Other

- **Enumeration date:** 01/17/2021
- **Last updated:** 01/17/2021