DR. TRACY L PACK (NPI# 1295886885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295886885 |
| Entity Type | Individual |
| Full Name | DR. TRACY L PACK |
| Practice Address |
147 E Clark Blvd Murfreesboro TN 37130-2112 |
| Practice Telephone | 6158981000 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
004475 | TN | Dental Providers |
| Street Address |
147 E CLARK BLVD |
| City | MURFREESBORO |
| State | TN |
| Zip Code | 37130-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760954374 | Ginger Marie Nolan | Speech-Language Pathologist | 2208 E. Main Street Murfreesboro, Murfreesboro, TN 37130 | 2018-12-20 |
| 1710480835 | Winter Calvert Cullen | Chiropractor | 925 S. Church St. A200, Murfreesboro, TN 37130 | 2018-03-15 |
| 1821598368 | Carolina Lira | Social Worker | 1800 S. Rutherford Blvd, Suite 201, Murfreesboro, TN 37130 | 2018-02-20 |
| 1003314477 | Sarah Elizabeth Howard | Recreation Therapist | 260 Glenis Drive, Veterans Recovery Center, Murfreesboro, TN 37130 | 2018-01-31 |
| 1871012864 | Adam Gerard Fedewa | Physical Therapy Assistant | 1207woods Edge Dr, Murfreesboro, TN 37130 | 2017-09-12 |
| 1972027860 | Teri Andrea White | Specialist | 1011-b Nw Broard St, Suite 15, Murfreesboro, TN 37130 | 2017-08-01 |
| 1295285120 | Bethany Ann Malugin | Nurse Practitioner | 324 S. Bilbro Ave., Murfreesboro, TN 37130 | 2016-10-04 |
| 1982080636 | Lisa Anne Davis | Massage Therapist | 416 North Front Street, Murfreesboro, TN 37130 | 2015-08-05 |
| 1568844488 | Dental Excellence | Dentist | 1754 S Rutherford Boulevard, Murfreesboro, TN 37130 | 2015-06-27 |
| 1932545134 | Burma Collins Developmental Services | Home Health | 2161 Slater Drive, Mufressboro, TN 37130 | 2013-05-14 |
| Find all providers in zip 37130 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619366770 | Anthony R. Togrye | Dentist | 152 Heritage Park Dr., Murfreesboro, TN 37129 | 2015-01-13 |
| 1053601443 | Miriam Helen Habeeb | Dentist | 1747 Medical Center Pkwy Ste 300, Murfreesboro, TN 37129-2579 | 2011-04-19 |
| 1316071129 | David Russell Sain | Dentist | 1849 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2007-03-15 |
| 1538298443 | John T Philipose | Dentist | 102 Camden Ct, Murfreesboro, TN 37128-4872 | 2007-03-05 |
| 1124110341 | Ronald Scott Taylor | Dentist | 2910 Old Fort Pkwy, Murfreesboro, TN 37128-4158 | 2006-09-28 |
| 1871695304 | Anthony R. Togrye D.d.s P.c | Dentist | 152 Heritage Park Dr, Murfreesboro, TN 37129-1526 | 2006-09-04 |
| 1437617479 | Lyle Robert Higgins | Dentist | 614 E Clark Blvd, Murfreesboro, TN 37130-2121 | 2019-03-08 |
| 1801321179 | Smile Doctors of Tennessee, PC | Dentist | 152 Heritage Park Dr, Murfreesboro, TN 37129-1505 | 2017-04-25 |
| 1356697049 | Katherine A Hart Westphal | Dentist | 1849 Memorial Blvd, Murfreesboro, TN 37129-1522 | 2012-07-31 |
| 1730337270 | Image Orthodontics Pllc | Dentist | 522b Brandies Cir, Murfreesboro, TN 37128-4872 | 2008-09-08 |
| Find all providers in MURFREESBORO | ||||
| City | MURFREESBORO |
| Zip Code | 37130 |
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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.