Dentistry and Fastbraces PC
NPI #1528057254 in Goodlettsville, Tennessee
Provider Information
- NPI Number
- 1528057254
- Entity Type
- Organization
- Organization Name
- Dentistry and Fastbraces PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 15, 2005
- Last Updated
- Feb 12, 2015
Practice Location
- Address
- 107 NEW BRICK CHURCH PIKE
- Address 2
- SUITE C
- City
- Goodlettsville
- State
- Tennessee
- ZIP Code
- 37072-1545
- Phone
- (615) 851-4744
Authorized Official
- Name
- DR. S ADELE DOHERTY, DDS MPH
- Title
- CEO PRESIDENT
- Phone
- (615) 851-4744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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