Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hermitage Pediatric Dentistry

Organization Dental Clinic/Center · NPI 1174852958

Hermitage Pediatric Dentistry is a Dental Clinic/Center in Hermitage, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009

Practice location Address checks out

107 Bonnabrook Dr
Hermitage, TN 37076-1910
Phone: (615) 889-1654
Fax: (615) 316-9197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 8202 (TN)

Record details

NPI number1174852958
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirkland Larson — Dentist · (615) 889-1654
NPI enumeratedDecember 8, 2009
Last updated in NPPESDecember 8, 2009
Mailing address107 Bonnabrook Dr, Hermitage, TN 37076-1910

Other providers in Hermitage