Organization
CHILDREN'S DENTISTRY OF SMYRNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENDY ALLEN (CREDENTIALING)
(615) 930-3718
Entity
Organization
Contact information
Practice address
1540 ROCK SPRINGS RD, SMYRNA, TN 37167-6141
(615) 220-6161
(615) 220-6116
Mailing address
739 PRESIDENTS PLACE, SUITE 200, SMYRNA, TN 37167
(615) 220-6161
(615) 220-6116
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9204
TN
Other
Enumeration date
12/09/2011
Last updated
10/07/2019
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