# DALTON DENTAL STUDIO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dalton Dental Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750098489
- **Authorized official:** DR. BRIAN PATRICK DALTON DDS (OWNER/DENTIST)
- **Authorized official phone:** (615) 294-3703

## Contact information

- **Practice address:** 100 BLUEGRASS COMMONS BLVD STE 2180, HENDERSONVILLE, TN 37075-2738
- **Practice address phone:** (615) 570-0003
- **Practice address fax:** (615) 235-0061
- **Mailing address:** 100 BLUEGRASS COMMONS BLVD STE 2180, HENDERSONVILLE, TN 37075-2738
- **Mailing address phone:** (615) 570-0003
- **Mailing address fax:** (615) 235-0061

## Taxonomy

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

## Other

- **Enumeration date:** 11/02/2022
- **Last updated:** 11/02/2022