# OLD HICKORY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1689116394
- **Authorized official:** DR. MIKE D GLASMEIER DMD (DENTIST/OWNER)
- **Authorized official phone:** (615) 758-9117

## Contact information

- **Practice address:** 101 MATTERHORN DR, OLD HICKORY, TN 37138-1573
- **Practice address phone:** (615) 758-9117
- **Mailing address:** 101 MATTERHORN DR, OLD HICKORY, TN 37138-1573
- **Mailing address phone:** (615) 758-9117

## Taxonomy

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

## Other

- **Enumeration date:** 11/11/2016
- **Last updated:** 11/11/2016