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ABSOLUTE PEDIATRIC DENTISTRY NPI 1487082434


NPI Information

NPI: 1487082434
Provider Name: ABSOLUTE PEDIATRIC DENTISTRY
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1956 N JACKSON ST
TULLAHOMA, TN
ZIP 37388
Phone: (931) 455-8255
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ABSOLUTE PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Tullahoma, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ABSOLUTE PEDIATRIC DENTISTRY NPI is 1487082434. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1956 N JACKSON ST
TULLAHOMA, TN
ZIP 37388-204
Phone: (931) 455-8255
Fax: (931) 563-5566

The provider's authorized official is Joseph S Doctora .
The authorized official title is Owner and has the following contact phone number (931) 455-8255.

The enumeration date for this NPI number is 10/29/2013 and was last updated on 10/29/2013.


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
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223P0221XDentistPediatric DentistryYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.