Organization
FIREFLY PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN MICHAEL CHAFIN DMD (OWNER)
(615) 236-9150
Entity
Organization
Contact information
Practice address
3000 STANSBERRY LN STE 105, FRANKLIN, TN 37069-5125
(615) 236-9150
(615) 236-9171
Mailing address
3000 STANSBERRY LN STE 105, FRANKLIN, TN 37069-5125
(615) 236-9150
(615) 236-9171
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q029880
—
TN
Enumeration date
11/26/2019
Last updated
06/30/2020
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