| Richard H. Gentzler, Iii, Dds Pediatric Dentistry, Pllc | |
|
106 Babb Dr Lebanon TN 37087-2506 | |
| (615) 443-3633 | |
| (615) 443-3696 |
| Full Name | Richard H. Gentzler, Iii, Dds Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 106 Babb Dr, Lebanon, Tennessee |
| Authorized Official Name and Position | Emily Gentzler (OFFICE MANAGER) |
| Authorized Official Contact | 6154433633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard H. Gentzler, Iii, Dds Pediatric Dentistry, Pllc 106 Babb Dr Lebanon TN 37087-2506 Ph: (615) 443-3633 | Richard H. Gentzler, Iii, Dds Pediatric Dentistry, Pllc 106 Babb Dr Lebanon TN 37087-2506 Ph: (615) 443-3633 |
| NPI Number | 1922271642 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922271642 | NPI | - | NPPES |
| 5440700 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 7882 (Tennessee) | Primary |
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