Hermitage Modern Dentistry, Pc

Specialty details in registry · Hermitage, TN

Call (615) 219-5722 Directions

At a glance

4730 Lebanon Pike Ste 101, Hermitage, TN 37076-1313

NPPES record updated May 14, 2021. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

4730 Lebanon Pike Ste 101
Hermitage, TN 37076-1313
Professional details: NPI, taxonomy & registry record
NPI1063086080
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
1223G0001X
Enumeration date
May 14, 2021
Record updated
May 14, 2021
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

4730 Lebanon Pike Ste 101
Hermitage, TN 37076-1313
Phone
(615) 219-5722
Fax
(615) 203-0752
Mailing address
17000 RED HILL AVE

IRVINE, CA 926145626
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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