Provider Demographics
NPI:1437671013
Name:BRENTWOOD DENTAL STUDIO, PLLC
Entity Type:Organization
Organization Name:BRENTWOOD DENTAL STUDIO, PLLC
Other - Org Name:NASHVILLE DENTISTRY CO.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:V
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-797-8003
Mailing Address - Street 1:211 FRANKLIN RD STE 180
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5592
Mailing Address - Country:US
Mailing Address - Phone:615-797-8003
Mailing Address - Fax:
Practice Address - Street 1:211 FRANKLIN RD STE 180
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5592
Practice Address - Country:US
Practice Address - Phone:615-797-8003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty