Search › Tennessee › 1223P0221X
Jonathan Shadburne, DMD
NPI 1861981979 · on the registry since 2018
Practice
- Address
- 124 Goodview Way Ste B
Gallatin, TN 37066 - Phone
- (615) 575-3344
- Organisation at this address
- Well 386 Llc
Trailhead Pediatric DentistryInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 1223G0001X
390200000X - Licence states on file
- OH, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-11-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee