Robertson County Dental Clinic

LBN: State Of Tennessee
Robertson County Dental Clinic is an health care organization with primary practice located at 806 South Brown Street , Springfield TN 37172. The organization recently has only one registered license in Dental Providers / Dental Public Health, which is considered as the primary health care specialty. State Of Tennessee can be contacted via phone (615) 384-4504, or through Haley, Annette via phone (615) 650-7000.

Contact Information

Primary practice address
806 South Brown Street Springfield TN 37172
Phone: (615) 384-4504
Fax: (615) 384-2067
Website:
Map and Directions
Authorized official contact:
Name: Haley, Annette
Phone: (615) 650-7000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X

Profile Details

NPI number 1861709024
LBN Legal business name State Of Tennessee
DBA Doing business as Robertson County Dental Clinic
Authorized official Haley, Annette
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2010
Last updated Aug 28th, 2012 - about 12 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 1861709024 NPPES
Tennessee MEDICAID 4448020

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