Columbia Dental Group Pllc

NPI #1447501721 in Hermitage, Tennessee

Provider Information

NPI Number: 1447501721
Entity Type: Organization
Organization Name: Columbia Dental Group Pllc
Primary Specialty: Dentist
Enumeration Date: Sep 26, 2012
Last Updated: Sep 26, 2012

Practice Location

Address: 6036 HAGARS GROVE PASS
City: Hermitage
State: Tennessee
ZIP Code: 37076-5603
Phone: (615) 405-7565

Authorized Official

Name: DR. SARAH LYNN CLAYTON, DDS
Title: SOLE MEMBER, DENTIST
Phone: (615) 405-7565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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