DR. CHRISTIAN CLARENCE BENNERMAN (NPI# 1598830770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598830770 |
| Entity Type | Individual |
| Full Name | DR. CHRISTIAN CLARENCE BENNERMAN |
| Credential | DDS |
| Practice Address |
2653 Lakevilla Dr Nashville TN 37217-3836 |
| Mailing Address |
13181 Old Nashville Hwy Suite 110 Smyrna TN 37167-4032 |
| Practice Telephone | 6158408149 |
| Practice Fax Number | 6159828989 |
| Mailing Telephone | 6154599296 |
| Mailing Fax Number | 6154599686 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-12-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
8190 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q052725 | 05 |
| Street Address |
2653 LAKEVILLA DR |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37217-3836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184079 | Heart and Soul Hospice LLC | Hospice Care, Community Based | 402 Bna Corporate Dr., Suite 305, Nashville, TN 37217 | 2020-11-03 |
| 1194332148 | Talley Boarding Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2741 Smith Springs Rd, Nashville, TN 37217 | 2020-09-24 |
| 1114543154 | Optum Pharmacy 701, LLC | Pharmacy | 800 Airpark Center Drive, Suite 809, Nashville, TN 37217 | 2020-06-24 |
| 1346861309 | Rx Clinic LLC | Family Medicine | 1046 Mcgavock Pike Ste A, Nashville, TN 37217 | 2020-04-30 |
| 1366935777 | Horizon Star Healthcare, Inc. | Nursing Care | 2201 Murfreesboro Pike Ste D-109, Nashville, TN 37217 | 2018-06-11 |
| 1649790056 | Mid-cumberland Human Resource Agency | Non-emergency Medical Transport (VAN) | 1101 Kermit Drive, Ste 300, Nashville, TN 37217 | 2017-06-27 |
| 1699216762 | Rocky Mountain Holdings, LLC | Ambulance | 603 Hangar Ln, Nashville, TN 37217 | 2017-03-09 |
| 1053715870 | Ida Michelle Daughtry | Physical Therapist | 1120 Twin Circle Drive, Nashville, TN 37217 | 2014-10-22 |
| 1497158885 | Rebeccah Fore | Preferred Provider Organization | 331 Plus Park Blvd. #150, Nashville, TN 37217 | 2014-09-30 |
| 1326465089 | Eberechi Obi Onyejiaka | Custodial Care Facility | 525 Galesburg Ct., Nashville, TN 37217 | 2014-03-19 |
| Find all providers in zip 37217 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396199055 | Daniel Coke | Dentist | 1301 Medical Center Dr # 1601, Nashville, TN 37232-0028 | 2016-04-19 |
| 1073910725 | Nashville Oral Facial Surgery, Pllc | Dentist | 2400 Patterson St Ste 316, Nashville, TN 37203-6510 | 2014-11-24 |
| 1013200054 | Ryan Fitzgerald Thomas | Dentist | 5802 Nolensville Pike Ste 103, Nashville, TN 37211-6540 | 2011-05-24 |
| 1497084057 | Kendall M Sims | Dentist | 1829 Jo Johnston Ave, Nashville, TN 37203-2870 | 2009-12-10 |
| 1013100551 | Matthew Mizukawa | Dentist | 1623 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2007-08-18 |
| 1770606014 | Cooper Oral & Maxillofacial Surgery, PC | Dentist | 207 Twenty Third Avenue North, Nashville, TN 37203-1501 | 2007-04-10 |
| 1447317953 | Robin Ricardo Daniel | Dentist | 1829 Jo Johnston Avenue, Nashville, TN 37203-2120 | 2007-01-03 |
| 1477635324 | Oral & Facial Surgery Group PC | Dentist | 300 20th Ave N Ste 606, Nashville, TN 37203-5606 | 2006-10-19 |
| 1639263783 | Harry Russell Mack Jr. | Dentist | 5802 Nolensville Pike, Suite #103, Nashville, TN 37211-6520 | 2006-10-03 |
| 1184734386 | Deji A Ogundiya | Dentist | 1801 Church St, Nashville, TN 37203-2201 | 2006-08-30 |
| Find all providers in NASHVILLE | ||||
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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.