PERIODONTAL CARE CENTER, PLLC (NPI# 1659668226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659668226 |
| Entity Type | Organization |
| Organization Name | PERIODONTAL CARE CENTER, PLLC |
| Practice Address |
100 Springhouse Ct Suite 220 Hendersonville TN 37075-1609 |
| Practice Telephone | 6152646404 |
| Mailing Telephone | 6152646404 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | DR. JEAN-MAX JEAN-PIERRE (OWNER) |
| Authorized Official Telephone | 6152646404 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
8167 | TN | Dental Providers |
| Street Address |
100 SPRINGHOUSE CT SUITE 220 |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518073550 | Lea Ann Lund | Pediatrics | 100 Springhouse Ct, Suite 100, Hendersonville, TN 37075-1609 | 2006-08-22 |
| 1740533629 | Gary D. Cohen, Dds PC | Dentist | 100 Springhouse Ct, Suite #200, Hendersonville, TN 37075-1609 | 2012-10-17 |
| 1871631671 | David R Hudson | Pediatrics | 100 Springhouse Ct, Suite 100, Hendersonville, TN 37075-1609 | 2007-02-02 |
| 1780722587 | Warren D Ervin | Pediatrics | 100 Springhouse Ct, Suite 100, Hendersonville, TN 37075-1609 | 2007-02-02 |
| 1700939550 | Jennifer B Holzen | Pediatrics | 100 Springhouse Ct, Suite 100, Hendersonville, TN 37075-1609 | 2007-01-18 |
| 1386797157 | William S Johnson | Pediatrics | 100 Springhouse Ct, Suite 100, Hendersonville, TN 37075-1609 | 2007-01-18 |
| 1508919358 | Jennifer E Moore | Pediatrics | 100 Springhouse Ct, Suite 100, Hendersonville, TN 37075-1609 | 2007-01-18 |
| 1033271838 | Rodney Gean | Dentist | 100 Springhouse Ct, Suite 130, Hendersonville, TN 37075-1609 | 2006-12-15 |
| 1457411308 | Robert W. Mcminn | Dentist | 100 Springhouse Ct, Suite 200, Hendersonville, TN 37075-1609 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164547139 | Jean-max Jean-pierre | Dentist | 100 Springhouse Ct., Suite 220, Hendersonville, TN 37075 | 2007-03-20 |
| 1295896710 | Jim Mann Bevans IIi | Dentist | 394 W Main St, Suite 3, Hendersonville, TN 37075-3348 | 2006-12-12 |
| 1689213902 | Periodontal & Implant Associates of Middle Tennessee, Pllc | Dentist | 100 Springhouse Court, Ste. 220, Hendersonville, TN 37075-1610 | 2020-01-03 |
| 1134339385 | Mountain Perio | Dentist | 200 Beverly Hanks Ctr, Suite B, Hendersonville, NC 28792-2301 | 2007-05-23 |
| 1104967041 | Glenn J. Shefter | Dentist | 200 Beverly Hanks Ctr, Suite B, Hendersonville, NC 28792-2301 | 2007-02-12 |
| 1417098351 | Greg S. Fertik | Dentist | 200 Beverly Hanks Ctr, Suite B, Hendersonville, NC 28792-2301 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518382506 | Jason Strever | Dentist | 5022 Old Godsey Ln Ste 1, Hixson, TN 37343-6604 | 2014-02-27 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1285946517 | John David Meister | Dentist | 1177 Old Hickory Blvd., Ste. 101, Brentwood, TN 37027-4242 | 2010-07-01 |
| 1770814261 | Thomas Faerber | Dentist | 118 Medical Ct, Clarksville, TN 37043-4602 | 2010-01-22 |
| 1184875627 | Michael Patrick Madigan | Dentist | 117 Capital Dr, Knoxville, TN 37922-3393 | 2008-10-02 |
| 1407030158 | Ted Craig Bleckstein | Dentist | 1085 River Village Ln, Afton, TN 37616-6219 | 2007-12-18 |
| 1659579472 | Matthew L Heaton | Dentist | 140 E Market Place Blvd, Knoxville, TN 37922 | 2007-07-03 |
| 1497959761 | Joseph Wade Gaither | Dentist | 301 Uptown Sq, Murfreesboro, TN 37129-0574 | 2007-06-12 |
| 1821206111 | Heather Keck Ridgway | Dentist | 510 Brennan Ln, Franklin, TN 37067-6235 | 2007-05-18 |
| 1376764688 | Ronald Loy Kilgore | Dentist | 8912 Town and Country Circle, Knoxville, TN 37923-4900 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.