NPI 1285279836
Lebanon Pediatric Dentistry, LLC
Practice location
- Address
- 920 S Hartmann Dr, Lebanon, TN 37090-4018
- Phone
- (404) 410-1340
Authorised official
- Name
- Christopher Sims
- Title
- Credentialing Coordinator
- Phone
- (470) 552-1823
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1285279836
- Entity type
- Organization
- NPI issued
- 7 Nov 2019
- Record last updated
- 7 Nov 2019
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.