Organization
GRACE DENTAL CARE PC
Active
Other names
CORNERSTONE DENTAL CARE PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOUNG JIN MOON D.M.D. (OWNER)
(615) 612-1740
Entity
Organization
Contact information
Practice address
500 LENTZ DR STE 60, MADISON, TN 37115-5135
(615) 612-1740
(615) 612-1751
Mailing address
500 LENTZ DR, SUITE 60, MADISON, TN 37115-5135
(615) 612-1740
(615) 612-1751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q017107
—
TN
Enumeration date
04/23/2008
Last updated
10/23/2025
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