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Pediatric Dentistry of Lebanon,Pllc

Pediatric Dentistry in Lebanon, TN · enumerated 2016 · authorized official Leslie Wallace, Dentist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710434204

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Registry record

Entity type Organization (Type 2)
Legal business name Pediatric Dentistry of Lebanon,Pllc
Practice address 103 Physicians Way, Ste 150, Lebanon, TN, 37090
Phone (615) 545-1812
Enumeration date Sep 1, 2016
Last updated in NPPES Sep 1, 2016

Taxonomy & classification

1223P0221X Pediatric Dentistry Dental Providers · License 8973 (TN) Primary

Authorized official

Name Leslie Wallace
Title Dentist
Phone (615) 545-1812

Other identifiers

Identifier Type State Issuer
1514855 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Pediatric Dentistry of Lebanon,Pllc?
The NPI for Pediatric Dentistry of Lebanon,Pllc is 1710434204, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Pediatric Dentistry of Lebanon,Pllc?
NPPES lists Leslie Wallace (Dentist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-09-01.