Organization
GREGORY DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK GREGORY (OWNER)
(615) 444-0322
Entity
Organization
Contact information
Practice address
1746 W MAIN ST, LEBANON, TN 37087-3194
(615) 444-0322
Mailing address
1746 W MAIN ST, LEBANON, TN 37087-3194
(615) 444-0322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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