Organization
BRAD GREIVES DDS. PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE POTTER (BUSINESS MANAGER)
(615) 824-7220
Entity
Organization
Contact information
Practice address
104 HAZEL PATH STE 1, HENDERSONVILLE, TN 37075-3867
(615) 824-7220
Mailing address
104 HAZEL PATH STE 1, HENDERSONVILLE, TN 37075-3867
(615) 824-7220
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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