NPI 1295593457
Lebanon Family Dentistry LLC
Practice location
- Address
- 1430 W Baddour Pkwy STE B, Lebanon, TN 37087-2656
- Phone
- (931) 704-0834
Authorised official
- Name
- Robin Ricardo Daniel
- Title
- Owner
- Phone
- (615) 830-2176
Registered specialties (5)
General Practice Dentistry
Primary
Dentist
Pediatric Dentistry
Oral and Maxillofacial Surgery (Dentist)
Dental Hygienist
Registry record
- NPI
- 1295593457
- Entity type
- Organization
- NPI issued
- 11 Mar 2024
- Record last updated
- 16 Apr 2024
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.