# BRENTWOOD PEDIATRIC DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1730481540
- **Authorized official:** DR. RYAN A CREGGER DDS (DDS/OWNER)
- **Authorized official phone:** (615) 377-3080

## Contact information

- **Practice address:** 95 SEABOARD LN, SUITE 102, BRENTWOOD, TN 37027-3031
- **Practice address phone:** (615) 377-3080
- **Practice address fax:** (615) 377-3088
- **Mailing address:** 95 SEABOARD LN, SUITE 102, BRENTWOOD, TN 37027-3031
- **Mailing address phone:** (615) 377-3080
- **Mailing address fax:** (615) 377-3088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS8825 | TN | Yes |

## Other

- **Enumeration date:** 11/30/2010
- **Last updated:** 11/30/2010