RENFROE FAMILY DENTAL (NPI# 1104310895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104310895 |
| Entity Type | Organization |
| Organization Name | RENFROE FAMILY DENTAL |
| Other Organization Name | DEREK RENFROE, DMD |
| Practice Address |
311 Spring St Dover TN 37058-3227 |
| Mailing Address |
Po Box 538 Dover TN 37058-0538 |
| Practice Telephone | 9312327105 |
| Practice Fax Number | 9312322242 |
| Mailing Telephone | 9312327105 |
| Mailing Fax Number | 9312322242 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | MRS. JORDAN DAVIS (OFFICE MANAGER) |
| Authorized Official Telephone | 9312327105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
9114 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD OF TENNESSEE | 4274444 | 01 |
| Other Name | Type Code |
|---|---|
| Derek Renfroe, DMD | Other Name - Individual/Organization |
| Street Address |
311 SPRING ST |
| City | DOVER |
| State | TN |
| Zip Code | 37058-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023474681 | Rebecca Cravens | Nurse Practitioner | 1511 Donelson Parkway, Dover, TN 37058 | 2016-01-12 |
| 1487894028 | Joselito A Pasaol | Physical Therapist | 402 C Church Street, Dover, TN 37058 | 2009-02-23 |
| 1588809461 | Lakeway Physical Therapy Outpatient, Pllc | Clinic/Center | 402-c Church St., Dover, TN 37058 | 2008-12-08 |
| 1225212350 | Dana M. Earhart | Licensed Practical Nurse | 723 Spring Street, Attn. Dana Earhart, School Nurse, Dover, TN 37058 | 2007-12-26 |
| 1437333614 | Tammy Lagan | Occupational Therapist | 949 Hwy 79, Dover, TN 37058 | 2007-12-24 |
| 1649390956 | Beverly Lynn Lewis | Audiologist | Lewis Hearing Services, 407 A Hwy. 79, Dover, TN 37058 | 2007-03-30 |
| 1689640898 | Price Edwin Hopson Jr. | Dentist | 1021 Spring St, Dover, TN 37058 | 2006-02-27 |
| 1154801207 | Crystal Lynn Shaw | Nurse Practitioner | 1511 Donelson Pkwy, Dover, TN 37058 | 2018-08-17 |
| 1235630112 | Elizabeth Amelia Estock | Registered Nurse | 1021 Spring St, Dover, TN 37058 | 2018-02-26 |
| 1740793736 | Mei-suey Chen | Internal Medicine | 314 Cedar St, Dover, TN 37058 | 2017-11-13 |
| Find all providers in zip 37058 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548776073 | Walker Square Dental,inc | Clinic/Center | 838 Walker Rd Ste 21-1, Dover, DE 19904-2751 | 2017-12-20 |
| 1386966059 | Smile To Smile Family Dental & Sedation Center, P.a. | Clinic/Center | 429 S Governors Ave, Dover, DE 19904-6707 | 2010-02-23 |
| 1912178831 | Dover Dental Associares PC | Clinic/Center | 30 Springdale Ave., Dover, MA 02030-0726 | 2008-03-19 |
| 1134253008 | Aesthetic Dental Center of Morris County LLC | Clinic/Center | 600 Mount Pleasant Ave Ste E, Dover, NJ 07801-1630 | 2007-03-15 |
| 1215589841 | Thomas Family Dentist, LLC | Clinic/Center | 1981 S State St, Dover, DE 19901-5811 | 2019-07-13 |
| 1427404615 | Dumas Dental, Pllc | Clinic/Center | 2 Ridge St, Dover, NH 03820-2516 | 2016-05-06 |
| 1255758058 | Great Smiles, Pllc | Clinic/Center | 38 Nelson St, Dover, NH 03820-3736 | 2014-03-19 |
| 1437415650 | Drs. Robert W. Kidd and Charis O'connor, Pa | Clinic/Center | 850 S State St, Dover, DE 19901-4113 | 2012-04-02 |
| 1487942819 | Tuscarawas County | Clinic/Center | 897 E Iron Ave, Dover, OH 44622-2030 | 2011-07-19 |
| 1184855520 | Dover Family and Cosmentic Dentistry | Clinic/Center | 1113 S State St, Suite 201, Dover, DE 19901-4112 | 2009-08-03 |
| Find all providers in DOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.