Organization
BRENTWOOD PEDIATRIC DENTISTRY
Active
Parent organization
BRENTWOOD PEDIATRIC DENTISTRY
Other names
Nolensville Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENTWOOD PEDIATRIC DENTISTRY
Authorized official
MR. RYAN ALLEN CREGGER D.D.S., M.S. (OWNER/DENTIST)
(615) 377-3080
Entity
Organization
Contact information
Practice address
7146 NOLENSVILLE RD, SUITE 101, NOLENSVILLE, TN 37135-9585
(615) 283-7397
(615) 283-3898
Mailing address
7146 NOLENSVILLE RD, SUITE 101, NOLENSVILLE, TN 37135-9585
(615) 377-3080
(615) 283-3898
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8825
TN
1223P0221X
Pediatric Dentistry
9278
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509457
—
TN
05
—
Q014908
—
TN
Enumeration date
05/12/2016
Last updated
05/12/2016
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