Organization
CHILDREN'S DENTAL HEALTH CENTER, PLLC
Active
Parent organization
CHILDREN'S DENTAL HEALTH CENTER, PLLC
Other names
Children's Dental Health Center - Pleasent View
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S DENTAL HEALTH CENTER, PLLC
Authorized official
SABIN KANE EWING DDS (OWNER)
(615) 256-7543
Entity
Organization
Contact information
Practice address
6509 HIGHWAY 41A, SUITE B, PLEASANT VIEW, TN 37146-7170
(615) 256-7543
(615) 256-8895
Mailing address
6509 HIGHWAY 41A, SUITE B, PLEASANT VIEW, TN 37146-7170
(615) 256-7543
(615) 256-8895
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9738
TN
1223P0221X
Pediatric Dentistry
Primary
9962
TN
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
9072
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
9134
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
THIS OFFICE DOES NOT ACCEPT MEDICAID
TN
Enumeration date
08/19/2015
Last updated
01/08/2016
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