Gary L. Waltemath Dds Pc

LBN: Iroquois Family Dentistry
Gary L. Waltemath Dds Pc is an health care organization with primary practice located at 5115 Harding Pike Ste 101 , Nashville TN 37205-2721. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Iroquois Family Dentistry can be contacted via phone (615) 298-2040, or through Stack, Maryelisa via phone (615) 298-2040.

Contact Information

Primary practice address
5115 Harding Pike Ste 101 Nashville TN 37205-2721
Phone: (615) 298-2040
Fax: (615) 777-2041
Website:
Map and Directions
Authorized official contact:
Name: Stack, Maryelisa
Phone: (615) 298-2040

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2655 Tennessee

Profile Details

NPI number 1992717573
LBN Legal business name Iroquois Family Dentistry
DBA Doing business as Gary L. Waltemath Dds Pc
Authorized official Stack, Maryelisa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Jan 19th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992717573 NPPES
Tennessee Other 11260 DENTAL LICENSE
Tennessee Other 5014 DENTAL LICENSE
Tennessee Other 8993 DENTAL LICENSE
Tennessee Other 11000 DENTAL LICENSE

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