Provider Demographics
NPI:1952866212
Name:CORNERSTONE FAMILY DENTISTRY PLLC
Entity Type:Organization
Organization Name:CORNERSTONE FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-569-1901
Mailing Address - Street 1:404 WELSHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4287
Mailing Address - Country:US
Mailing Address - Phone:615-333-3382
Mailing Address - Fax:615-832-1293
Practice Address - Street 1:404 WELSHWOOD DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4287
Practice Address - Country:US
Practice Address - Phone:615-333-3382
Practice Address - Fax:615-832-1293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental