Organization
EAST NASHVILLE PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA SANDIDGE DMD (PEDIATRIC DENTIST)
(770) 633-6566
Entity
Organization
Contact information
Practice address
1077 E TRINITY LN STE 104, NASHVILLE, TN 37216-3067
(615) 669-4858
(615) 669-4859
Mailing address
1809 MCEWEN AVE, NASHVILLE, TN 37206-1856
(615) 669-4858
(615) 669-4859
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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