Organization
BYRNSIDE ENTERPRISES, INC.
Active
Other names
Middle Tennessee Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN BYRNSIDE DMD (OWNER)
(615) 758-7511
Entity
Organization
Contact information
Practice address
40 W CALDWELL ST, SUITE 202, MOUNT JULIET, TN 37122-2910
(615) 758-7511
(615) 827-0202
Mailing address
40 W CALDWELL ST, SUITE 202, MOUNT JULIET, TN 37122-2910
(615) 758-7511
(615) 827-0202
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8371
TN
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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