Brentwood Dental Specialists
LBN: Brentwood Dental Specialists
Brentwood Dental Specialists is an health care organization with primary practice located at 1642 Westgate Cir Suite 100, Brentwood TN 37027-8194. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty.
Brentwood Dental Specialists can be contacted via phone (615) 373-9889, or through Ogles, Kathy Jo via phone (615) 373-9889.
Contact Information
Primary practice address
1642 Westgate Cir Suite 100
Brentwood TN 37027-8194
Phone: (615) 373-9889
Fax: (615) 425-0320
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 8056 | Tennessee |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 8055 | Tennessee |
Profile Details
| NPI number | 1235427691 |
|---|---|
| LBN Legal business name | Brentwood Dental Specialists |
| DBA Doing business as | |
| Authorized official | Ogles, Kathy Jo |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 19th, 2011 |
| Last updated | Jul 19th, 2011 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235427691 | NPPES |
| Tennessee | MEDICAID | 3206481 |
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