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GOODLETTSVILLE DENTAL CARE PLLC NPI 1780172072


NPI Information

NPI: 1780172072
Provider Name: GOODLETTSVILLE DENTAL CARE, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 44D0886445

Address:
3050 BUSINESS PARK CIR STE 100
GOODLETTSVILLE, TN
ZIP 37072
Phone: (615) 859-0188
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GOODLETTSVILLE DENTAL CARE, PLLC is a dental clinic center in Goodlettsville, TN. GOODLETTSVILLE DENTAL CARE, PLLC NPI is 1780172072. The provider is registered as an organization entity type.

The provider's business location address is:

3050 BUSINESS PARK CIR STE 100
GOODLETTSVILLE, TN
ZIP 37072-659
Phone: (615) 859-0188
Fax: (615) 851-1204

The provider's authorized official is Victor Clarence Beck .
The authorized official title is Owner and has the following contact phone number (615) 859-0188.

The CLIA number assigned to this NPI record is 44D0886445 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 4/23/2018.


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/CenterDentalYes

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

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