Provider Demographics
NPI:1962622670
Name:GILMORE, RHONDA S (DDS)
Entity type:Individual
Prefix:DR
First Name:RHONDA
Middle Name:S
Last Name:GILMORE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:RHONDA07
Other - Middle Name:SELLEH
Other - Last Name:GILMORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5722 HICKORY PLZ
Mailing Address - Street 2:SUITE B-6
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-6389
Mailing Address - Country:US
Mailing Address - Phone:615-332-0600
Mailing Address - Fax:615-332-0600
Practice Address - Street 1:5722 HICKORY PLZ DR.
Practice Address - Street 2:STE B6
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211
Practice Address - Country:US
Practice Address - Phone:615-332-0600
Practice Address - Fax:615-396-0590
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS5341122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist