Provider Demographics
NPI:1467748921
Name:CHILDREN'S DENTISTRY OF GALLATIN
Entity Type:Organization
Organization Name:CHILDREN'S DENTISTRY OF GALLATIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-461-7491
Mailing Address - Street 1:1710 NASHVILLE PIKE STE 102
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:TN
Mailing Address - Zip Code:37066-3154
Mailing Address - Country:US
Mailing Address - Phone:615-461-7491
Mailing Address - Fax:615-461-7496
Practice Address - Street 1:1710 NASHVILLE PIKE
Practice Address - Street 2:SUITE 102
Practice Address - City:GALLATIN
Practice Address - State:TN
Practice Address - Zip Code:37066
Practice Address - Country:US
Practice Address - Phone:615-461-7491
Practice Address - Fax:615-461-7496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-23
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN88471223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty