HOMETOWN FAMILY DENTISTRY (NPI# 1841789591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841789591 |
| Entity Type | Organization |
| Organization Name | HOMETOWN FAMILY DENTISTRY |
| Practice Address |
22 N Jefferson Ave Cookeville TN 38501-3334 |
| Practice Telephone | 9315263381 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | DR. MATTHEW WHITSON (CO-OWNER) |
| Authorized Official Telephone | 9315263381 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
10684 | TN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215573845 | Hometown Family Dentistry | Clinic/Center | 1363 Old Pendergrass Rd, Jefferson, GA 30549-2790 | 2019-11-19 |
| Street Address |
22 N JEFFERSON AVE |
| City | COOKEVILLE |
| State | TN |
| Zip Code | 38501-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184608606 | Jeremy Wayne Robinson | Dentist | 22 N Jefferson Ave, Cookeville, TN 38501-3334 | 2005-11-30 |
| 1134641418 | Matthew Whitson | Dentist | 22 N Jefferson Ave, Cookeville, TN 38501-3334 | 2017-07-08 |
| 1780112177 | John Wesley Halliburton | Dentist | 22 N Jefferson Ave, Cookeville, TN 38501-3334 | 2017-05-30 |
| 1548645880 | Highlands Dental Pllc | Dentist | 22 N Jefferson Ave, Cookeville, TN 38501-3334 | 2015-07-28 |
| 1699909903 | Shaun Anderson Thompson | Dentist | 22 N Jefferson Ave, Cookeville, TN 38501-3334 | 2009-05-14 |
| 1609995828 | Dr. Andy Thompson | Dentist | 22 N Jefferson Ave, Cookeville, TN 38501-3334 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596711 | Results-ast Jv, LLC | Physical Therapist | 627 James Campbell Blvd, South, Suite B, Columbia, TN 38501 | 2020-10-21 |
| 1376167080 | Melinda Jane Jetter | Registered Nurse | 320 North Willow Avenue, Cookeville, TN 38501 | 2020-05-29 |
| 1366950875 | Tara Beth Smith | Occupational Therapist | 315 N Washington Ave Ste 240, Cookeville, TN 38501 | 2018-01-18 |
| 1669990339 | Tonya Rachelle Perry | Counselor | 13 South Jefferson Ave, Cookeville, TN 38501 | 2017-09-01 |
| 1659896207 | Dustin Chase Rich | Physical Therapist | 105 S. Willow Ave, #100, Cookeville, TN 38501 | 2017-08-04 |
| 1487009668 | Holly Young | Physical Therapist | 315 North Washungton Ave., Suite 240, Cookeville, TN 38501 | 2016-04-26 |
| 1194190306 | Johnna Sprague | Nurse Practitioner | 620 S. Jefferson Ave, Suite 202, Cookeville, TN 38501 | 2015-12-14 |
| 1881099885 | Carlos Alberto Podesta | Internal Medicine | 238 W 4th St Ste 200, Cookeville, TN 38501 | 2014-11-03 |
| 1124445002 | Shashank Sarvepalli | Internal Medicine | 1 Medical Center Blvd Ste D, Cookeville, TN 38501 | 2014-03-27 |
| 1689095762 | Kendra Hicks | Licensed Practical Nurse | 701 County Services Drive, Cookeville, TN 38501 | 2013-12-17 |
| Find all providers in zip 38501 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932351921 | Hintz Family Dentistry | Clinic/Center | 303 N Willow Ave, Cookeville, TN 38501-2336 | 2008-10-21 |
| 1679860969 | William T. Shipley, D.d.s., M.s.d. | Clinic/Center | 303 N Oak Ave, Cookeville, TN 38501-2439 | 2011-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557380 | Ironwood Dental | Clinic/Center | 2550 Madison St, Clarksville, TN 37043-3704 | 2020-10-29 |
| 1942828124 | Adkins Family Dentistry, Pllc | Clinic/Center | 600 Tusculum Blvd Ste 1, Greeneville, TN 37745-3954 | 2020-07-14 |
| 1720605520 | Nancy Laden, D.m.d., P.l.l.c. | Clinic/Center | 105 Se Parkway Ste 101, Franklin, TN 37064-3932 | 2020-06-29 |
| 1922627413 | Colonial Dental, Plc | Clinic/Center | 560 Colonial Rd Ste 100, Memphis, TN 38117-4033 | 2020-04-14 |
| 1841823234 | Randall Restorative Solutions, Pllc | Clinic/Center | 1373 Bridgeview Dr, Chattanooga, TN 37415-1468 | 2020-02-13 |
| 1841822301 | Treasure Island Pediatric Dentistry | Clinic/Center | 1900 Medical Center Parkway, 110, Murfreesboro, TN 37129 | 2020-02-12 |
| 1437780905 | Knoxville Dentistry Group Pllc | Clinic/Center | 1119 Kingston Pike, Knoxville, TN 37934 | 2020-02-03 |
| 1073155511 | Captains Way Dentistry | Clinic/Center | 3001 Knoxville Center Dr Ste 1100, Knoxville, TN 37924-5076 | 2019-10-16 |
| 1053961227 | Memphis Dentures and Implants Pllc | Clinic/Center | 8950 Us-64, Suite 108, Lakeland, TN 38002-4566 | 2019-09-18 |
| 1497307730 | Robert C Wilhite Jr Dds Pllc | Clinic/Center | 1300 Hatcher Ln Ste 1, Columbia, TN 38401-3554 | 2019-07-16 |
| Find all providers with the same taxonomy | ||||
| City | COOKEVILLE |
| Zip Code | 38501 |
Please comment or provide details below to improve the information on HOMETOWN FAMILY DENTISTRY.
| 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.