Organization
GLASSCOCK FAMILY DENTISTRY OF NASHVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN GLASSCOCK DMD (DOCTOR)
(615) 832-4979
Entity
Organization
Contact information
Practice address
4905 NOLENSVILLE PIKE, NASHVILLE, TN 37211-5411
(615) 832-4979
(615) 832-4910
Mailing address
4905 NOLENSVILLE PIKE, NASHVILLE, TN 37211-5411
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215422779
INDIVIDUAL NPI
TN
01
—
1861985848
INDIVIDUAL NPI
TN
Enumeration date
10/27/2021
Last updated
10/27/2021
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