Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 9485 | TN |
Y | 1223P0221X | Pediatric Dentist | 9485 | TN |
NPI | 1023363314 |
---|---|
Provider Name | Danni Cottrill |
First Address | Nashville, TN 37204-3102 |
Second Address | Nashville, TN 37204-3102 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2012 |
Last Update Date | 01/09/2020 |