Individual
DR. DEREK RENFROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8113 MOORES LN, SUITE 2100, BRENTWOOD, TN 37027-8037
(615) 942-7811
(615) 942-7609
Mailing address
8113 MOORES LN, SUITE 2100, BRENTWOOD, TN 37027-8037
(615) 942-7811
(615) 942-7609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8393
KY
1223G0001X
General Practice Dentistry
Primary
9114
TN
Other
Enumeration date
08/21/2006
Last updated
12/13/2010
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