Individual
DR. RICHARD HENRY GENTZLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
106 BABB DR, LEBANON, TN 37087-2506
(615) 443-3633
Mailing address
106 BABB DR, LEBANON, TN 37087-2506
(615) 443-3633
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
7882
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440700
—
TN
Enumeration date
08/24/2006
Last updated
06/30/2009
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