Organization
EPP TN PLLC
Active
Other names
M.City Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BERTOLLINI (CREDENTIALING MANGER)
(315) 450-0763
Entity
Organization
Contact information
Practice address
47 BROOKWOOD TER, NASHVILLE, TN 37205-1405
(615) 353-5678
Mailing address
5115 MARYLAND WAY STE 115, BRENTWOOD, TN 37027-7512
(315) 450-0763
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
03/15/2023
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