Organization
BRENTWOOD ENDODONTICS LLC
Active
Other names
Brentwood Endodontics LLC, Vince E. Hicks DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMY HOWARD (OFFICE MANAGER)
(615) 376-8865
Entity
Organization
Contact information
Practice address
5111 MARYLAND WAY SUITE 209, BRENTWOOD, TN 37027
(615) 376-8865
(615) 373-7699
Mailing address
5111 MARYLAND WAY STE 209, BRENTWOOD, TN 37027-7513
(615) 376-8865
(615) 373-7699
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7113
TN
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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