Organization
RICHARD H. GENTZLER, III, DDS PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY GENTZLER (OFFICE MANAGER)
(615) 443-3633
Entity
Organization
Contact information
Practice address
106 BABB DR, LEBANON, TN 37087-2506
(615) 443-3633
(615) 443-3696
Mailing address
106 BABB DR, LEBANON, TN 37087-2506
(615) 443-3633
(615) 443-3696
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
04/03/2008
Last updated
04/03/2008
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