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STATE OF TENNESSEE NPI 1720125545


NPI Information

NPI: 1720125545
Provider Name: STATE OF TENNESSEE

Doing Business As: MCRO MOBILE DENTAL UNIT

Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
710 HART LN
NASHVILLE, TN
ZIP 37216
Phone: (615) 650-7000
Get Directions

STATE OF TENNESSEE is a dental public health dentist in Nashville, TN. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. STATE OF TENNESSEE NPI is 1720125545. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mcro Mobile Dental Unit.

The provider's business location address is:

710 HART LN
NASHVILLE, TN
ZIP 37216-627
Phone: (615) 650-7000
Fax: (615) 262-6139

The provider's authorized official is Annette Haley .
The authorized official title is Regional Director and has the following contact phone number (615) 650-7000.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 8/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1014540OTHERTENNESSEEDORAL DENTAL LOCATION ID
24447844MEDICAIDTENNESSEE

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: 11/14/2023

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