Organization
BRITE SMILEZ COSMETIC & FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIONNE MCCLAIN R.D.H (DENTAL HYGIENIST/ OFFICE MANAGER)
(615) 866-9109
Entity
Organization
Contact information
Practice address
5245 HICKORY HOLLOW PKWY, ANTIOCH, TN 37013-3003
(615) 866-9109
(615) 866-9147
Mailing address
5245 HICKORY HOLLOW PKWY, ANTIOCH, TN 37013-3003
(615) 866-9109
(615) 866-9147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS2859
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517984
—
TN
05
—
5440696
—
TN
05
—
Q014905
—
TN
Enumeration date
09/25/2008
Last updated
08/11/2016
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