| NPI | 1366602211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE AUSTIN ADAMS Owner 615-297-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 7675) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN 9617) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2020-08-10 |