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IROQUOIS FAMILY DENTISTRY NPI 1992717573


NPI Information

NPI: 1992717573
Provider Name: IROQUOIS FAMILY DENTISTRY

Former Legal Business Name: GARY L. WALTEMATH DDS PC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5115 HARDING PIKE STE 101
NASHVILLE, TN
ZIP 37205
Phone: (615) 298-2040
Get Directions

IROQUOIS FAMILY DENTISTRY is a general practice dentist in Nashville, TN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. IROQUOIS FAMILY DENTISTRY NPI is 1992717573. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Gary L. Waltemath Dds Pc.

The provider's business location address is:

5115 HARDING PIKE STE 101
NASHVILLE, TN
ZIP 37205-721
Phone: (615) 298-2040
Fax: (615) 777-2041

The provider's authorized official is Maryelisa Stack .
The authorized official title is Office Manager and has the following contact phone number (615) 298-2040.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 1/19/2021.


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
11223G0001XDentistGeneral Practice2655TENNESSEEYes

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
18993OTHERTENNESSEEDENTAL LICENSE
211000OTHERTENNESSEEDENTAL LICENSE
35014OTHERTENNESSEEDENTAL LICENSE
411260OTHERTENNESSEEDENTAL LICENSE

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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