Individual
DR. CHRISTIAN CLARENCE BENNERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2653 LAKEVILLA DR, NASHVILLE, TN 37217-3836
(615) 840-8149
(615) 982-8989
Mailing address
13181 OLD NASHVILLE HWY, SUITE 110, SMYRNA, TN 37167-4032
(615) 459-9296
(615) 459-9686
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8190
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q052725
—
TN
Enumeration date
11/22/2006
Last updated
12/13/2019
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