Organization
CD TENNESSEE DENTAL, P.C.
Active
Other names
Smile Solutions of Goodlettsville
Organization subpart
No
Provider details
NPI number
Authorized official
TY JUSTICE (DIRECTOR OF CREDENTIALING)
(513) 808-4984
Entity
Organization
Contact information
Practice address
3050 BUSINESS PARK CIR STE 202, GOODLETTSVILLE, TN 37072-3588
(615) 859-3700
(615) 859-6222
Mailing address
9825 KENWOOD RD STE 200, BLUE ASH, OH 45242-6252
(513) 808-4984
(513) 448-0511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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