# DEVINE DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1740732783
- **Authorized official:** MRS. CARLY RHEA (OFFICE COORDINATOR)
- **Authorized official phone:** (615) 269-4209

## Contact information

- **Practice address:** 4219 HILLSBORO PIKE, SUITE 105, NASHVILLE, TN 37215-3328
- **Practice address phone:** (615) 269-4209
- **Practice address fax:** (615) 383-1998
- **Mailing address:** 4219 HILLSBORO PIKE, SUITE 105, NASHVILLE, TN 37215-3328
- **Mailing address phone:** (615) 269-4209
- **Mailing address fax:** (615) 383-1998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/25/2016
- **Last updated:** 10/25/2016