NPI 1063086080

Hermitage Modern Dentistry, PC

Organisation General Practice Dentistry Hermitage, TN

Practice location

Address: 4730 Lebanon Pike STE 101, Hermitage, TN 37076-1313
Phone: (615) 219-5722
Fax: (615) 203-0752
Mailing address: 17000 Red Hill Ave, Irvine, CA 92614-5626

Authorised official

Name: Alexandra Fili
Title: Owner Dentist
Phone: (714) 845-8890

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1063086080
Entity type: Organization
NPI issued: 14 May 2021
Record last updated: 14 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.