PROVIDENCE DENTAL CARE INC. NPI 1447352372

NPI Information

  • NPI: 1447352372
  • Provider Name: PROVIDENCE DENTAL CARE, INC.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Former Legal Business Name: LAFEVER ENTERPRISES, INC.
  • Address: 684 N MOUNT JULIET RD
    MOUNT JULIET, TN
    ZIP 37122
  • Phone: (615) 758-6800

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NPI Details

PROVIDENCE DENTAL CARE, INC. is a dental clinic center in Mount Juliet, TN. PROVIDENCE DENTAL CARE, INC. NPI is 1447352372. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Lafever Enterprises, Inc..

The provider's business location address is:

684 N MOUNT JULIET RD
MOUNT JULIET, TN
ZIP 37122-323
Phone: (615) 758-6800
Fax: (615) 758-8419

The provider's authorized official is Larry Wayne Lafever .
The authorized official title is President and has the following contact phone number (615) 758-6800.

The enumeration date for this NPI number is 9/1/2006 and was last updated on 1/5/2017.

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
1261QD0000XClinic/CenterDentalDS0000004058TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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