# DENTISTRY OF LEWISBURG

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAST NASHVILLE AESTHETIC DENTISTRY PLLC
- **Other names:** Dentistry of Lewisburg
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396563946
- **Legal business name:** EAST NASHVILLE AESTHETIC DENTISTRY PLLC
- **Authorized official:** DR. SKYLOR MORTON DDS (CEO/DOCTOR)
- **Authorized official phone:** (615) 970-2300

## Contact information

- **Practice address:** 1360 S ELLINGTON PKWY, LEWISBURG, TN 37091-4324
- **Practice address phone:** (931) 308-4292
- **Mailing address:** 20 OLD PLEASANT GROVE RD, MOUNT JULIET, TN 37122-3879
- **Mailing address phone:** (615) 970-2300

## Taxonomy

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

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 10/02/2024