Organization
BRENTWOOD PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN A CREGGER DDS (DDS/OWNER)
(615) 377-3080
Entity
Organization
Contact information
Practice address
95 SEABOARD LN, SUITE 102, BRENTWOOD, TN 37027-3031
(615) 377-3080
(615) 377-3088
Mailing address
95 SEABOARD LN, SUITE 102, BRENTWOOD, TN 37027-3031
(615) 377-3080
(615) 377-3088
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS8825
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509457
—
TN
Enumeration date
11/30/2010
Last updated
11/30/2010
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