BRENTWOOD DENTAL SPECIALISTS (NPI# 1235427691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235427691 |
Entity Type | Organization |
Organization Name | BRENTWOOD DENTAL SPECIALISTS |
Practice Address |
1642 Westgate Cir Suite 100 Brentwood TN 37027-8194 |
Practice Telephone | 6153739889 |
Practice Fax Number | 6154250320 |
Mailing Telephone | 6153739889 |
Mailing Fax Number | 6154250320 |
Enumeration Date | 2011-07-19 |
Last Update Date | 2011-07-19 |
Authorized Official Name | MRS. KATHY JO OGLES (OFFICE MANAGER) |
Authorized Official Telephone | 6153739889 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
8055 | TN | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8056 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 3206481 | 05 |
Street Address |
1642 WESTGATE CIR SUITE 100 |
City | BRENTWOOD |
State | TN |
Zip Code | 37027-8194 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770552713 | Nathan Armand Burns | Dentist | 1642 Westgate Cir, Suite 400, Brentwood, TN 37027-8194 | 2006-03-14 |
1588023485 | Julie Bryant | Behavioral Analyst | 1642 Westgate Cir, Suite 204, Brentwood, TN 37027-8194 | 2016-02-19 |
1710210034 | Pain Management Group, P.C. | Specialist | 1642 Westgate Cir, Suite 201, Brentwood, TN 37027-8194 | 2009-09-18 |
1053482505 | James Robert Hendricks | Dentist | 1642 Westgate Cir, Suite 100, Brentwood, TN 37027-8194 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
Find all providers in zip 37027 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225686157 | Brentwood Pediatric Dentistry Maryland Farms, Pllc | Dentist | 5109 Peter Taylor Park Dr Ste 100, Brentwood, TN 37027-7672 | 2019-09-04 |
1730468729 | Brentwood Dentall Pediatrics Inc | Dentist | 105 Powell Court, Ste 100, Brentwood, TN 37027 | 2011-08-09 |
1497076418 | Daniel Mark Holsinger | Dentist | 95 Seaboard Ln Ste 102, Brentwood, TN 37027-3037 | 2010-06-14 |
1023150760 | Edwin H Hines | Dentist | 8217 White Chapel Ct, Brentwood, TN 37027-6721 | 2007-02-12 |
1841367026 | Jeanne Marie Taylor | Dentist | 105 Powell Ct, St 100, Brentwood, TN 37027-5085 | 2006-11-30 |
1770552713 | Nathan Armand Burns | Dentist | 1642 Westgate Cir, Suite 400, Brentwood, TN 37027-8194 | 2006-03-14 |
1437127925 | Alexandra Warren Hendricks | Dentist | 1642 Westgate Circle, Brentwood, TN 37027-8080 | 2006-03-09 |
1811158124 | Ryan Allen Cregger | Dentist | 95 Seaboard Ln, Brentwood, TN 37027-2929 | 2008-06-19 |
1861603508 | Brentwood Dental Specialists, LLC | Dentist | 1607 Westgate Cir, Brentwood, TN 37027-8075 | 2007-05-24 |
1962521765 | Bonnie K, Hillman | Dentist | 2400 Balfour Rd, Suite 309, Brentwood, CA 94513-4945 | 2007-03-29 |
Find all providers in BRENTWOOD |
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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.