OrganizationActive
Pediatric Dentistry of Lebanon,pllc
NPI 1710434204 · Pediatric Dentistry · Lebanon, TN
Pediatric Dentistry of Lebanon,pllc is a Pediatric Dentistry organization in Lebanon, TN (NPI 1710434204).
Provider details
- NPI number
- 1710434204
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Leslie Wallace, Dentist(615) 545-1812
- License
- 8973 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 Physicians Way
Ste 150
Lebanon, TN 37090-4132
Phone: (615) 545-1812
Street-level locationGet directions
Mailing address
103 Physicians Way
Lebanon, TN 37090-4132
Registry dates
- Enumerated
- 2016-09-01
- Last updated
- 2016-09-01
Frequently asked questions
- What is Pediatric Dentistry of Lebanon,pllc's NPI number?
- Pediatric Dentistry of Lebanon,pllc's National Provider Identifier (NPI) is 1710434204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of Lebanon,pllc?
- Pediatric Dentistry of Lebanon,pllc is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dentistry of Lebanon,pllc located?
- Pediatric Dentistry of Lebanon,pllc's practice location on file with NPPES is 103 Physicians Way, Lebanon, TN 37090-4132.
- What is Pediatric Dentistry of Lebanon,pllc's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of Lebanon,pllc is (615) 545-1812.
- Who is the authorized official for Pediatric Dentistry of Lebanon,pllc?
- The authorized official listed on Pediatric Dentistry of Lebanon,pllc's NPPES record is Leslie Wallace, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of Lebanon,pllc's NPI active?
- Yes — Pediatric Dentistry of Lebanon,pllc's NPI (1710434204) is active in the NPPES registry as of the last update on 2016-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.