Ideal Dental Hermitage Pllc

NPI #1841962404 in Hermitage, Tennessee

Provider Information

NPI Number: 1841962404
Entity Type: Organization
Organization Name: Ideal Dental Hermitage Pllc
Primary Specialty: Dentist
Enumeration Date: Oct 1, 2021
Last Updated: May 16, 2023

Practice Location

Address: 4011 LEBANON PIKE
City: Hermitage
State: Tennessee
ZIP Code: 37076-2013
Phone: (615) 285-3995

Authorized Official

Name: RODNEY ALLES, DDS
Title: OWNER
Phone: (972) 331-8079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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