Trailhead Pediatric Dentistry

LBN: Trailhead Pediatric Dentistry
Trailhead Pediatric Dentistry is an health care organization with primary practice located at 124 Goodview Way Ste B , Gallatin TN 37066-3125. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Trailhead Pediatric Dentistry can be contacted via phone (270) 218-0708, or through Shadburne, Jonathan David via phone (270) 218-0708.

Contact Information

Primary practice address
124 Goodview Way Ste B Gallatin TN 37066-3125
Phone: (270) 218-0708
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shadburne, Jonathan David Doctor of Dental Medicine (DMD)
Phone: (270) 218-0708

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1740851492
LBN Legal business name Trailhead Pediatric Dentistry
DBA Doing business as
Authorized official Shadburne, Jonathan David Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 4th, 2021
Last updated Oct 4th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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