# BIG RIDGE FAMILY AND COSMETIC DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1356676829
- **Authorized official:** DR. NINA VERSTRAT DDS (MANAGING MEMBER)
- **Authorized official phone:** (423) 877-1334

## Contact information

- **Practice address:** 5606 HIGHWAY 153, HIXSON, TN 37343-3725
- **Practice address phone:** (423) 877-1334
- **Mailing address:** 5606 HIGHWAY 153, HIXSON, TN 37343-3725
- **Mailing address phone:** (423) 877-1334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | TN | Yes |

## Other

- **Enumeration date:** 10/16/2009
- **Last updated:** 10/16/2009