CHARTER OAK ENDODONTICS, INC (NPI# 1033311535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033311535 |
| Entity Type | Organization |
| Organization Name | CHARTER OAK ENDODONTICS, INC |
| Practice Address |
1926 Highway 46 S Dickson TN 37055-2754 |
| Mailing Address |
Po Box 3086 Brentwood TN 37024-3086 |
| Practice Telephone | 6154467050 |
| Mailing Telephone | 6153396592 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2007-08-29 |
| Authorized Official Name | DR. TAMARA GRAVELY-GRIFFIN (PRESIDENT) |
| Authorized Official Telephone | 6153396592 |
| Authorized Official Credential | D.M.D. , M.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
8079 | TN | Dental Providers |
| Street Address |
1926 HIGHWAY 46 S |
| City | DICKSON |
| State | TN |
| Zip Code | 37055-2754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578850798 | Anne M Ross | Dentist | 1926 Highway 46 S, Dickson, TN 37055-2754 | 2011-07-08 |
| 1306083571 | Tennessee Dental Professionals PC | Dentist | 1926 Highway 46 S, Dickson, TN 37055-2754 | 2009-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1336767839 | Logan Newman | Student in an Organized Health Care Education/Training Program | 102 Us70 East, Suite 2, Dickson, TN 37055 | 2020-07-10 |
| 1720575012 | Vb Tennessee I Pllc | Dentist | 2027 Thornton Dr, Dickson, TX 37055 | 2018-04-23 |
| 1376075358 | Sharon Elizabeth Sharber | Nurse Practitioner | 111 Highway 70 E Ste E, Dickson, TN 37055 | 2017-03-29 |
| 1992255921 | Karen Alonzo | Occupational Therapy Assistant | 312 N Charlotte St, Dickson, TN 37055 | 2016-10-13 |
| 1356727408 | Aurora Pharmacy Inc | Pharmacy | 318 East College Street, Suite 102, Dickson, TN 37055 | 2015-07-30 |
| 1295121820 | Jeffrey Nicholas Williams | Pharmacy Technician | 120 Brazzell Rd, Dickson, TN 37055 | 2015-04-10 |
| 1760894398 | Joshua A. Vaughn | Physical Therapist | 766 Highway 46 South, Dickson, TN 37055 | 2014-06-02 |
| 1902217292 | Keith Payton | Dentist | 217 Highway 46 Ste D, Dickson, TN 37055 | 2014-05-08 |
| 1073953840 | John Harrison | Dentist | 134 Us-70, Dickson Pediatric Dentistry, Dickson, TN 37055 | 2013-06-26 |
| Find all providers in zip 37055 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265536619 | Tamara C Gravely-griffin | Dentist | 404 E College St, Suite E,f, Dickson, TN 37055-1855 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497353080 | Assured Endodontics, Pllc | Dentist | 2026 Exeter Rd Unit J-2, Germantown, TN 38138-3965 | 2020-10-15 |
| 1417414350 | Mid South Endodontics Pllc | Dentist | 1918 Exeter Rd Unit 1, Germantown, TN 38138-2970 | 2019-02-27 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| 1649630534 | Josanne Mildred O'dell | Dentist | 2060 Steeplebrook Dr, Cordova, TN 38016-5075 | 2016-03-04 |
| 1558731463 | Cumberland Endodontics Pllc | Dentist | 1528 Hunt Club Blvd, Suite 410, Gallatin, TN 37066-6036 | 2015-10-05 |
| 1811398951 | Poppy Montana-marie Blaseio | Dentist | 5111 Maryland Way Ste 209, Brentwood, TN 37027-7513 | 2014-09-09 |
| 1982021291 | Heritage Park Endodontics | Dentist | 538 Brandies Cir, Ste 105, Murfreesboro, TN 37128-7698 | 2014-03-25 |
| 1821438722 | Riley Beth Sturgill | Dentist | 2800 Peoples St Ste 60, Johnson City, TN 37604-4158 | 2013-06-25 |
| 1255629028 | Dental Specialists of Nashville, Pllc | Dentist | 447 Murfreesboro Pike, Nashville, TN 37210-2842 | 2011-07-14 |
| 1558659516 | Mack Endodontics Dds P.C. | Dentist | 5180 Park Ave Ste 300, Memphis, TN 38119-3531 | 2011-07-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.