# BELLANO DENTAL WOLF RIVER, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bellano Dental Germantown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770358905
- **Authorized official:** ASHLEY HANSON (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (901) 380-0320

## Contact information

- **Practice address:** 2002 EXETER RD, GERMANTOWN, TN 38138-3945
- **Practice address phone:** (901) 509-2823
- **Practice address fax:** (901) 306-9222
- **Mailing address:** 2002 EXETER RD, GERMANTOWN, TN 38138-3945
- **Mailing address phone:** (901) 509-2823
- **Mailing address fax:** (901) 306-9222

## Taxonomy

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

## Other

- **Enumeration date:** 11/17/2023
- **Last updated:** 11/17/2023