BIVENS DENTAL GROUP PC NPI 1871747832

NPI Information

  • NPI: 1871747832
  • Provider Name: BIVENS DENTAL GROUP PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: HICKMAN DENTAL CENTER
  • Address: 5103 HIGHWAY 100
    LYLES, TN
    ZIP 37098
  • Phone: (931) 670-5961

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NPI Details

BIVENS DENTAL GROUP PC is a dental clinic center in Lyles, TN. BIVENS DENTAL GROUP PC NPI is 1871747832. The provider is registered as an organization entity type.
The provider Is Doing Business As Hickman Dental Center.

The provider's business location address is:

5103 HIGHWAY 100
LYLES, TN
ZIP 37098-879
Phone: (931) 670-5961

The provider's authorized official is Darryl A Bivens .
The authorized official title is Dentist and has the following contact phone number (931) 670-5961.

The enumeration date for this NPI number is 11/4/2008 and was last updated on 11/5/2008.

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/CenterDental6858TENNESSEEYes

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: 11/21/2025

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