# TW NEW DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1730826074
- **Authorized official:** RYAN MCCOSTLIN (VP)
- **Authorized official phone:** (615) 479-2196

## Contact information

- **Practice address:** 104 EASTPARK DR STE 201, BRENTWOOD, TN 37027-7535
- **Practice address phone:** (615) 373-8307
- **Mailing address:** 10 BURTON HILLS BLVD STE 400, NASHVILLE, TN 37215-3004
- **Mailing address phone:** (615) 479-2196

## Taxonomy

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

## Other

- **Enumeration date:** 05/18/2022
- **Last updated:** 05/18/2022