| The Practice, Pllc | |
|
1738 Fontanella Dr Brentwood TN 37027-2502 | |
| (618) 841-0971 | |
| Not Available |
| Full Name | The Practice, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1738 Fontanella Dr, Brentwood, Tennessee |
| Authorized Official Name and Position | Matthew Kasiar (OWNER) |
| Authorized Official Contact | 6188410971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Practice, Pllc 1738 Fontanella Dr Brentwood TN 37027-2502 Ph: () - | The Practice, Pllc 1738 Fontanella Dr Brentwood TN 37027-2502 Ph: (618) 841-0971 |
| NPI Number | 1134718869 |
|---|---|
| Provider Enumeration Date | 01/17/2021 |
| Last Update Date | 01/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134718869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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