Organization
PROFESSIONAL DENTAL ALLIANCE OF TENNESSEE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ALSTON (CREDENTIALING)
(240) 605-6412
Entity
Organization
Contact information
Practice address
125 COOL SPRINGS BLVD STE 140, FRANKLIN, TN 37067-6475
(615) 771-1111
(615) 771-5113
Mailing address
125 ENTERPRISE DR STE 200, PITTSBURGH, PA 15275-1223
(724) 901-1964
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS4359
TN
Other
Enumeration date
12/05/2006
Last updated
08/04/2023
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