Organization
BRADLEY FARROW DMD PC
Active
Other names
Farrow Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY MATTHEW FARROW D.M.D. (DOCTOR/OWNER)
(615) 595-1559
Entity
Organization
Contact information
Practice address
4720 TRADERS WAY, SUITE 300, THOMPSONS STATION, TN 37179-5366
(615) 595-1559
Mailing address
4720 TRADERS WAY, SUITE 300, THOMPSONS STATION, TN 37179-5366
(615) 595-1559
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9080
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516786
—
TN
Enumeration date
02/18/2010
Last updated
02/18/2010
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