Organization
SHINE PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN SEELIG DMD, MS (PRESIDENT)
(314) 306-0003
Entity
Organization
Contact information
Practice address
1921 NASHVILLE PIKE STE 200, GALLATIN, TN 37066-5259
(314) 306-0003
Mailing address
116 CREIGHTON AVE, NASHVILLE, TN 37206-2204
(314) 306-0003
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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