Brentwood Pediatric Dentistry, NPI 1376999003
Pediatric Dentist in Nolensville, TN, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1376999003 |
| NPI Entity Type | Organization |
| Provider Name |
Brentwood Pediatric Dentistry
Doing Business As |
| Subpart of Organization | Brentwood Pediatric Dentistry |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 7146 Nolensville Rd, Suite 101, Nolensville, TN, US |
| Provider Mailing Address | 7146 Nolensville Rd, Suite 101, Nolensville, TN, US, 371359585 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | MR. D.D.S., M.S. Ryan Allen Cregger |
| Official Position | OWNER/DENTIST |
| Phone | 615-377-3080 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Pediatric Dentist |
| Classification | |
| Group | |
| License No. | 8825 |
| License State | TN |
| Description | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 9278 | TN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| Q014908 | TN | MEDICAID | 05 |
| 1509457 | TN | MEDICAID | 05 |
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