STATE OF TENNESSEE


Address: 806 South Brown Street, Springfield, TN 37172
Phone: 6153844504

STATE OF TENNESSEE (NPI# 1861709024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861709024
Entity Type Organization
Organization Name STATE OF TENNESSEE
Other Organization Name ROBERTSON COUNTY DENTAL CLINIC
Practice Address 806 South Brown Street
Springfield
TN 37172
Practice Telephone 6153844504
Practice Fax Number 6153842067
Mailing Telephone 6153844504
Mailing Fax Number 6153842067
Enumeration Date 2010-09-09
Last Update Date 2012-08-28
Authorized Official Name MRS. ANNETTE HALEY (REGIONAL DIRECTOR)
Authorized Official Telephone 6156507000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0001X Dentist
Specialization: Dental Public Health
Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 4448020 05

Other Provider/Organization Names

Other Name Type Code
Robertson County Dental Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1417337056 State of Tennessee Physical Therapist 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 2015-06-08
1023412020 State of Tennessee Intermediate Care Facility, Mentally Retarded 2324 Asheville Highway, Greeneville, TN 37743 2014-10-20
1871997163 State of Tennessee Intermediate Care Facility, Mentally Retarded 803 Redbud Dr, Greeneville, TN 37743-6141 2014-10-15
1437552536 State of Tennessee Intermediate Care Facility, Mentally Retarded 645 Rambo Road, Greeneville, TN 37743 2014-10-02
1114330545 State of Tennessee Occupational Therapist 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 2014-06-03
1356770531 State of Tennessee Public Health or Welfare 1660 Silverado Ct, Sevierville, TN 37876-4426 2013-11-07
1699104885 State of Tennessee Public Health or Welfare 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 2013-11-07
1780958454 State of Tennessee Intermediate Care Facility, Mentally Retarded 2497 Buckingham Rd., Greeneville, TN 37743 2012-02-28
1629342415 State of Tennessee Intermediate Care Facility, Mentally Retarded 102 Dyer St., Greeneville, TN 37743 2012-02-27
1639443419 State of Tennessee Intermediate Care Facility, Mentally Retarded 2499 Buckingham Rd., Greeneville, TN 37745 2012-02-27

Office Location

Street Address 806 SOUTH BROWN STREET
City SPRINGFIELD
State TN
Zip Code 37172

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447859376 Results-ast Jv, LLC Physical Therapist 3556 Tom Austin Highway, Suite 2, Springfield, TN 37172 2020-10-21
1871107482 Springfield Residential, LLC Assisted Living Facility 2530 South Main Street, Springfield, TN 37172 2020-09-01
1922610427 Jenae Annette Rankin Physical Therapist Intelligent Therapy, 719 South Main Street, Springfield, TN 37172 2020-08-18
1043856297 Jeffrey Brian Barnes Pharmacist 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 2019-11-22
1407407968 Sadie L Shields Speech-Language Pathologist Its 3131 Tom Austin Highway, Springfield, TN 37172 2019-09-26
1871148965 Austin Chhut Occupational Therapy Assistant Intelligent Therapy Staffing, 3131 Tom Austin Hwy, Springfield, TN 37172 2019-08-06
1013409887 Springfield Pediatric Dentistry Dentist 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 2018-06-06
1083163752 The Ridge Counselor 514 Hill Street, Springfield, TN 37172 2016-09-23
1902255516 Dionna Marino Case Manager/Care Coordinator 731 Cheatham Street, Springfield, TN 37172 2016-06-06
1174964258 Molly Williams Registered Nurse 800 S. Brown Street, Springfield, TN 37172 2013-07-17
Find all providers in zip 37172

Taxonomy Information

Taxonomy Code 1223D0001X
Grouping Dental Providers
Classification Dentist
Specialization Dental Public Health

Taxonomy Definition

The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083836381 The Tooth Truck Inc. Dba Ronald Mcdonald Care Mobile of The Ozarks Dentist 949 E. Primrose, Springfield, MO 65807 2007-05-03
1659801413 Whitney Dawn Bair Dentist 440 E Tampa St, Springfield, MO 65806-1131 2017-06-14
1932580719 Abu Baker Obaid Mahmood Dentist 1049 Main St., Springfield, MA 01103 2015-06-17
1205099645 Dahlia T Michael Dentist 440 E Tampa St, Springfield, MO 65806-1131 2008-07-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174004170 Integrity Mobile Dental, LLC Dentist 802 S Crest Rd, Chattanooga, TN 37404-5923 2018-08-27
1962924738 Good Life Healthcare Solutions, Inc Dentist 9329 Middlebrook Pike, Knoxville, TN 37931-4704 2017-07-12
1538540885 Nickita R. Zaveri Dentist 1924 Alcoa Hwy # U-28, Knoxville, TN 37920-1511 2015-06-12
1386862035 James Albert Gillcrist Dentist 310 Great Circle Road, Nashville, TN 37243 2007-04-20
1215088216 Delana Faye Horton Dentist 1233 Sw Ave Ext, Johnson City, TN 37604-6519 2007-01-16
1962552927 Barry L Hopper Dentist 975 Emergency Rd., Blountville, TN 37617-0630 2007-01-11
1275611600 Delia Fernandez Dentist 703 N. Main St., Mt. Pleasant, TN 38474 2006-11-02
1922026020 Gary Lee Yarrington Dentist 150 Debra Road, Vaopc 6200 Bldg-, Chattanogga, TN 37411 2006-07-17
1578533915 Ronald James Salage Dentist 710 North Main St, Suite A Anderson County Health Dept, Clinton, TN 37716 2006-01-26
1245217918 Joseph L Hadden Dds Dentist 331 W Main St, Morristown, TN 37815-0429 2005-12-23
Find all providers with the same taxonomy

Competitor

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City SPRINGFIELD
Zip Code 37172

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Dataset Information

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.

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