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DENTAL PRACTICE GROUP OF TENNESSEE NPI 1891043204


NPI Information

NPI: 1891043204
Provider Name: DENTAL PRACTICE GROUP OF TENNESSEE

Doing Business As: BROOKHAVEN FAMILY DENTISTRY

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
775 E BROOKHAVEN CIR
MEMPHIS, TN
ZIP 38117
Phone: (901) 682-3100
Get Directions

DENTAL PRACTICE GROUP OF TENNESSEE is a customized equipment durable medical equipment medical supplies in Memphis, TN. DENTAL PRACTICE GROUP OF TENNESSEE NPI is 1891043204. The provider is registered as an organization entity type.
The provider Is Doing Business As Brookhaven Family Dentistry.

The provider's business location address is:

775 E BROOKHAVEN CIR
MEMPHIS, TN
ZIP 38117-501
Phone: (901) 682-3100
Fax: (901) 682-9848

The provider's authorized official is Nancy Schiaparelli .
The authorized official title is Chief Financial Officer and has the following contact phone number (727) 800-8040.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 3/30/2023.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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
1Q011942MEDICAIDTENNESSEE
27100178860MEDICAIDKENTUCKY

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: 4/28/2024

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.