Provider Demographics
NPI:1811160781
Name:INTERFAITH DENTAL CLINIC
Entity type:Organization
Organization Name:INTERFAITH DENTAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:SWITZER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-329-4790
Mailing Address - Street 1:1721 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2925
Mailing Address - Country:US
Mailing Address - Phone:615-329-4790
Mailing Address - Fax:615-320-0613
Practice Address - Street 1:1721 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2925
Practice Address - Country:US
Practice Address - Phone:615-329-4790
Practice Address - Fax:615-320-0613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty