Cornerstone Dental Care Pc

LBN: Grace Dental Care Pc
Cornerstone Dental Care Pc is an health care organization with primary practice located at 500 Lentz Dr Ste 60 , Madison TN 37115-5135. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Grace Dental Care Pc can be contacted via phone (615) 612-1740, or through Moon, Young Jin via phone (615) 612-1740.

Contact Information

Primary practice address
500 Lentz Dr Ste 60 Madison TN 37115-5135
Phone: (615) 612-1740
Fax: (615) 612-1751
Website:
Map and Directions
Authorized official contact:
Name: Moon, Young Jin Doctor of Dental Medicine (DMD)
Phone: (615) 612-1740

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Tennessee

Profile Details

NPI number 1013182849
LBN Legal business name Grace Dental Care Pc
DBA Doing business as Cornerstone Dental Care Pc
Authorized official Moon, Young Jin Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2008
Last updated Sep 26th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013182849 NPPES
Tennessee MEDICAID Q017107

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