CASTLE MID SOUTH DENTAL CENTER PC (NPI# 1902297039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902297039 |
| Entity Type | Organization |
| Organization Name | CASTLE MID SOUTH DENTAL CENTER PC |
| Other Organization Name | BRIGHT NOW DENTAL HENDERSONVILLE |
| Practice Address |
305 Indian Lake Blvd Ste B260 Hendersonville TN 37075-6376 |
| Mailing Address |
8415 Datapoint Dr Ste 1020 San Antonio TX 78229-3277 |
| Practice Telephone | 6152386730 |
| Mailing Telephone | 6152386730 |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2015-02-11 |
| Authorized Official Name | DR. TIMOTHY MATHIS (OWNER) |
| Authorized Official Telephone | 6152386730 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5344 | TN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Bright Now Dental Hendersonville | Doing Business As Name - Organization |
| Street Address |
305 INDIAN LAKE BLVD STE B260 |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-6376 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003468232 | Kyle Humphrey | Dentist | 107 Imperial Blvd Ste 1, Hendersonville, TN 37075-3492 | 2019-07-09 |
| 1407332091 | Michael Weis | Dentist | 1004 Asheville Hwy, Hendersonville, NC 28791-3632 | 2018-07-17 |
| 1316450943 | Heather S. Lee, Dds, Pa | Dentist | 506 Park Hill Ct Ste 3, Hendersonville, NC 28739-4333 | 2017-11-06 |
| 1891154373 | Hendersonville Dental Spa Pllc. | Dentist | 264 New Shackle Island Rd Ste 105a, Hendersonville, TN 37075-2482 | 2016-02-12 |
| 1649635947 | Hendersonville Dental Spa for Kids Pllc | Dentist | 264 New Shackle Island Rd Ste 105b, Hendersonville, TN 37075-2482 | 2015-12-31 |
| 1669856530 | Andrew Harrell | Dentist | 200 Beverly Hanks Ctr Ste B, Hendersonville, NC 28792 | 2015-07-10 |
| 1972986347 | Colleen Nicole Stutesman Allen | Dentist | 685 Blythe Street Ct Ste A, Hendersonville, NC 28739-4167 | 2015-07-03 |
| 1396128161 | Sonal Kapoor | Dentist | 1002 Glenbrook Way Ste 200, Hendersonville, TN 37075 | 2015-06-29 |
| 1285048777 | Alexander Philip Jiamachello | Dentist | 1139a Greenville Hwy, Hendersonville, NC 28792-6204 | 2014-06-12 |
| 1043571300 | Claire L Black | Dentist | 687 Blythe Street Ct Ste A, Hendersonville, NC 28739-4054 | 2012-06-04 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
Please comment or provide details below to improve the information on CASTLE MID SOUTH DENTAL CENTER PC.
| 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.