Provider Demographics
NPI:1639757438
Name:GERMAN CASTILLO DDS PLLC
Entity type:Organization
Organization Name:GERMAN CASTILLO DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERMAN
Authorized Official - Middle Name:ESAU
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-426-0258
Mailing Address - Street 1:1009 ASHCROFT WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-4240
Mailing Address - Country:US
Mailing Address - Phone:615-426-0258
Mailing Address - Fax:
Practice Address - Street 1:2643 LAKEVILLA DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3836
Practice Address - Country:US
Practice Address - Phone:615-426-0258
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty