DR. Ira Lee Sidwell, DMD

NPI #1114907201 in Brentwood, Tennessee

Provider Information

NPI Number
1114907201
Entity Type
Individual
Name
DR. Ira Lee Sidwell, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Jan 17, 2006
Last Updated
Mar 4, 2014

Practice Location

Address
1195 OLD HICKORY BLVD
Address 2
STE. 205
ZIP Code
37027-4239
Phone
(615) 269-5223

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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