Healthcare Provider Details

I. General information

NPI: 1366602211
Provider Name (Legal Business Name): ADAMS & SEATON PEDIATRIC DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5115 HARDING PIKE STE 201
NASHVILLE TN
37205-2722
US

IV. Provider business mailing address

5115 HARDING PIKE STE 201
NASHVILLE TN
37205-2722
US

V. Phone/Fax

Practice location:
  • Phone: 615-297-7597
  • Fax: 615-269-7132
Mailing address:
  • Phone: 615-297-7597
  • Fax: 615-269-7132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number9617
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number7675
License Number StateTN

VIII. Authorized Official

Name: DR. GEORGE AUSTIN ADAMS JR.
Title or Position: OWNER
Credential: D.M.D.
Phone: 615-297-7597