Organization
ISLAND BREEZE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH PAYTON (OWNER)
(615) 326-5010
Entity
Organization
Contact information
Practice address
217 HIGHWAY 46, DICKSON, TN 37055-2507
(615) 326-5010
Mailing address
1458 GOVERNORS RIDGE CT, FRANKLIN, TN 37064-8933
(954) 830-1326
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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