BYRNSIDE ENTERPRISES INC. NPI 1467720102

NPI Information

  • NPI: 1467720102
  • Provider Name: BYRNSIDE ENTERPRISES, INC.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: MIDDLE TENNESSEE PEDIATRIC DENTISTRY
  • CLIA Number: 44D1091901
  • Address: 40 W CALDWELL ST
    SUITE 202
    MOUNT JULIET, TN
    ZIP 37122
  • Phone: (615) 758-7511

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NPI Details

BYRNSIDE ENTERPRISES, INC. is a pediatric dentistry dentist in Mount Juliet, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BYRNSIDE ENTERPRISES, INC. NPI is 1467720102. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Middle Tennessee Pediatric Dentistry.

The provider's business location address is:

40 W CALDWELL ST
SUITE 202
MOUNT JULIET, TN
ZIP 37122-910
Phone: (615) 758-7511
Fax: (615) 827-0202

The provider's authorized official is Bryan Byrnside .
The authorized official title is Owner and has the following contact phone number (615) 758-7511.

The CLIA number assigned to this NPI record is 44D1091901 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 12/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry8371TENNESSEEYes

What is NPI?

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This page was last updated on: 3/30/2025

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