Pediatric Dentistry Of Lebanon,pllc
Pediatric Dental Clinic
103 Physicians Way, Ste 150, Lebanon
Tennessee, 37090-4132
615-545-1812 Maps & DirectionsPediatric Dentistry Of Lebanon,pllc is a Pediatric Dental Clinic in Lebanon, Tennessee. It is located at 103 Physicians Way, Ste 150, Lebanon, TN and its contact number is 615-545-1812. The authorized person for Pediatric Dentistry Of Lebanon,pllc is Dr. Leslie Suzanne Wallace
who is Dentist of the clinic and their contact number is 615-545-1812. The primary license number for Pediatric Dentistry Of Lebanon,pllc is 8973 (Pediatric Dentistry) in Tennessee.
Pediatric Dentistry Of Lebanon,pllc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Pediatric Dentistry Of Lebanon,pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Pediatric Dentistry Of Lebanon,pllc |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 103 Physicians Way, Ste 150, Lebanon,
Tennessee, 37090-4132 |
| Phone: | 615-545-1812 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Leslie Suzanne Wallace |
| Position: | Dentist |
| Contact Number: | 615-545-1812 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pediatric Dentistry Of Lebanon,pllc clinic are as mentioned below.
| NPI Number: | 1710434204 |
| NPI Enumeration Date: | 01 Sep, 2016 |
| NPI Last Update On: | 01 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Dentistry Of Lebanon,pllc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 8973 | Tennessee | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1514855 | Medicaid | Tennessee | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pediatric Dentistry Of Lebanon,pllc
103 Physicians Way, Ste 150
Lebanon, Tennessee |
| Zip: | 37090-4132 |
| Phone Number: | 615-545-1812 |
Patients can reach Pediatric Dentistry Of Lebanon,pllc at
103 Physicians Way, Ste 150, Lebanon, Tennessee or can
call to book an appointment on 615-545-1812.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.