Cumberland Pediatric Dentistry And Orthodontics

NPI 1154743110 - Dentist - 1223X0400X

NPI Details
NPI 1154743110
Enumeration Date 01/10/2014
Last Updated 01/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRYAN DAVID BRYAN
Position OWNER/PROVIDER OF SERVICES
Phone (931) 854-1200
Fax (615) 672-7211
Practice Location
510 S JEFFERSON AVE
COOKEVILLE TN, 38501-4010, US
Phone (931) 854-1200
Fax (615) 672-7211
Business Location
520 HIGHWAY 76 STE 9
WHITE HOUSE TN, 37188-8212, US
Phone (931) 854-1200
Fax (615) 672-7211
Toxanomy
Taxonomy Code 1223X0400X
License State Tennessee
License Number 7907
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According to our database, Cumberland Pediatric Dentistry And Orthodontics NPI is 1154743110, taxonomy code is 1223X0400X and license number is 7907, license state is located at Tennessee. Cumberland Pediatric Dentistry And Orthodontics physically located at 510 S Jefferson Ave, Cookeville TN, 38501-4010. NPI Number 1033115704 has the healthcare provider type.

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1154743110 NPI number is provided on an as is basis without warranty of any kind. 1154743110 is maintained by the National Plan & Provider Enumeration System. The contents of Cumberland Pediatric Dentistry And Orthodontics are for informational purposes only.