MT. JULIET ENDODONTICS NPI 1407247380

NPI Information

  • NPI: 1407247380
  • Provider Name: MT. JULIET ENDODONTICS
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • CLIA Number: 44D2121226
  • Address: 878 N MOUNT JULIET RD
    MOUNT JULIET, TN
    ZIP 37122
  • Phone: (615) 758-7668

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NPI Details

MT. JULIET ENDODONTICS is an endodontics dentist in Mount Juliet, TN. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. MT. JULIET ENDODONTICS NPI is 1407247380. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

878 N MOUNT JULIET RD
MOUNT JULIET, TN
ZIP 37122-391
Phone: (615) 758-7668

The provider's authorized official is Adam Davis .
The authorized official title is Owner and has the following contact phone number (615) 758-7668.

The CLIA number assigned to this NPI record is 44D2121226 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 2/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics9279TENNESSEENo
21223E0200XDentistEndodontics7886TENNESSEEYes

What is NPI?

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This page was last updated on: 11/21/2025

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