BRINK & WHITE PEDIATRIC DENTAL ASSOCIATES, PLLC (NPI# 1629262399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629262399 |
| Entity Type | Organization |
| Organization Name | BRINK & WHITE PEDIATRIC DENTAL ASSOCIATES, PLLC |
| Other Organization Name | JOSHUA A BRINK, DDS |
| Practice Address |
6565 Stage Road Suite 2 Bartlett TN 38134-0280 |
| Practice Telephone | 9013820280 |
| Practice Fax Number | 9013824148 |
| Mailing Telephone | 9013820280 |
| Mailing Fax Number | 9013824148 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | DR. JOSHUA A BRINK SR. (OWNER) |
| Authorized Official Telephone | 9013820280 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 9177551 | 05 |
| Other Name | Type Code |
|---|---|
| Joshua A Brink, DDS | Former Legal Business Name - Organization |
| Street Address |
6565 STAGE ROAD SUITE 2 |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-0280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| 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 |
|---|---|---|---|---|
| 1952425282 | Bartlett Pediatric Dentistry | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2007-03-19 |
| 1982754123 | Gentlecare for Kids Teeth | Dentist | 774 W Bartlett Rd, Bartlett, IL 60103 | 2007-01-11 |
| 1033290929 | Joshua Aaron Brink Sr. | Dentist | 6565 Stage Rd Ste 2, Bartlett, TN 38134-3830 | 2006-10-18 |
| 1043534829 | Timothy P. Bakelaar, D.m.d, Pllc | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2010-03-23 |
| 1124342910 | Jeff Williams | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2010-03-23 |
| 1376797399 | Bamini Blau | Dentist | 774 W Bartlett Rd, Bartlett, IL 60103-4482 | 2008-11-05 |
| 1063695930 | Tim Bakelaar | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879271 | Knoxville Pediatric Dentistry, Pllc | Dentist | 2944 Tazewell Pike Ste 1, Knoxville, TN 37918-1990 | 2020-10-24 |
| 1649886961 | Happy Teeth Pediatric Dentistry | Dentist | 129 Commons Dr, Martin, TN 38237-3882 | 2020-09-22 |
| 1144844879 | Dandridge Pediatric Dentistry | Dentist | 117 E Price Rd, Dandridge, TN 37725-4513 | 2020-05-28 |
| 1831711415 | Nashville Pediatric Dentistry | Dentist | 130 Seaboard Ln Ste A1, Franklin, TN 37067-8221 | 2020-05-18 |
| 1326685132 | East Nashville Pediatric Dentistry, Pllc | Dentist | 1077 E Trinity Ln Ste 104, Nashville, TN 37216-3067 | 2019-11-30 |
| 1285279836 | Lebanon Pediatric Dentistry, LLC | Dentist | 920 S Hartmann Dr, Lebanon, TN 37090-4018 | 2019-11-07 |
| 1225686157 | Brentwood Pediatric Dentistry Maryland Farms, Pllc | Dentist | 5109 Peter Taylor Park Dr Ste 100, Brentwood, TN 37027-7672 | 2019-09-04 |
| 1265087969 | Adventure Pediatric Dentistry, Pllc | Dentist | 6413 Lee Hwy Ste 119, Chattanooga, TN 37421-4861 | 2019-08-08 |
| 1942868336 | Juhn and Stark LLC | Dentist | 2333 Knob Creek Rd Ste 12, Johnson City, TN 37604-2007 | 2019-05-31 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRINK & WHITE PEDIATRIC DENTAL ASSOCIATES, PLLC.
| 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.