STEPHEN MITCHELL SPECK (NPI# 1083838965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083838965 |
| Entity Type | Individual |
| Full Name | STEPHEN MITCHELL SPECK |
| Credential | DDS |
| Practice Address |
3515 Central Pike Suite 201 Hermitage TN 37076 |
| Mailing Address |
4047 Twin Oaks Lane Cane Ridge TN 37076 |
| Practice Telephone | 6158833450 |
| Practice Fax Number | 6158710988 |
| Mailing Telephone | 6156417001 |
| Mailing Fax Number | 6158710988 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3280 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730258393 | Stephen Haines Speck Sr. | Dentist | 6470 Tippin Ave, Pensacola, FL 32504 | 2006-11-07 |
| 1942475264 | Stephen Michael Speck | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2008-04-28 |
| Street Address |
3515 CENTRAL PIKE SUITE 201 |
| City | HERMITAGE |
| State | TN |
| Zip Code | 37076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427046622 | Lisa Laya | Internal Medicine | 3515 Central Pike, Ste 105, Hermitage, TN 37076-2029 | 2005-10-11 |
| 1922338193 | John Henry Friedmann Jr. | Dentist | 3515 Central Pike, Ste 202, Hermitage, TN 37076 | 2010-01-11 |
| 1811175243 | F Brandon Burger | Dentist | 3515 Central Pike, Suite 204, Hermitage, TN 37076-2029 | 2008-02-07 |
| 1326226036 | Dr Daniel Hixon | Dentist | 3515 Central Pike, Suite 204, Hermitage, TN 37076-2029 | 2008-02-05 |
| 1699852988 | Daniel A Hixon | Dentist | 3515 Central Pike, Suite 204, Hermitage, TN 37076-2029 | 2006-11-01 |
| 1326135260 | Olof Lowry Blomberg | Dentist | 3515 Central Pike, Suite 202, Hermitage, TN 37076-2029 | 2006-10-10 |
| 1407809890 | Stanley J Bodner | Internal Medicine | 3515 Central Pike, Suite # 105, Hermitage, TN 37076-2029 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255996583 | Cassandra Renea Brown | Dietitian, Registered | 5653 Frist Blvd Suite 530, Hermitage, TN 37076 | 2019-05-02 |
| 1164979753 | Chelsea Douglas | Nurse Practitioner | 5565 Frist Boulevard, Hermitage, TN 37076 | 2016-09-01 |
| 1417333568 | Middle Tennessee Homes | Intermediate Care Facility, Mentally Retarded | 3207 Earhart Road, Hermitage, TN 37076 | 2015-07-30 |
| 1578944187 | Middle Tennesse Homes | Intermediate Care Facility, Mentally Retarded | 3209 Earhart Road, Hermitage, TN 37076 | 2015-06-10 |
| 1063835585 | Rachel Jane Morris | Occupational Therapist | 1621 Robindale Dr, Hermitage, TN 37076 | 2014-02-04 |
| 1427488154 | Earhart 1 | Intermediate Care Facility, Mentally Retarded | 3156 Earhart Rd, Nashville, TN 37076 | 2013-11-15 |
| 1669802393 | Tulip Grove #2 | Intermediate Care Facility, Mentally Retarded | 877 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-15 |
| 1780014514 | Tulip Grove Road #1 | Intermediate Care Facility, Mentally Retarded | 869 Tulip Grove Rd, Nashville, TN 37076 | 2013-11-14 |
| 1215365440 | Hospital Based Medical Services of Tennessee-i PC | Physician Assistant | 5655 First Blvd, Hermitage, TN 37076 | 2013-10-25 |
| 1942545686 | Helping Hands Support Center, Inc. | Home Health | 4060 Andrew Jackson Pkwy #907, Hermitage, TN 37076 | 2012-12-06 |
| Find all providers in zip 37076 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790326072 | Tibbs Family Dentistry, Pllc | Dentist | 5114 Old Hickory Blvd Ste 200, Hermitage, TN 37076-2590 | 2019-10-08 |
| 1215493184 | Kollar-furey Family Dentistry, LLC | Dentist | 2200 East State Street, Hermitage, PA 16148-2760 | 2019-02-15 |
| 1740632439 | John H Friedmann Jr Dds Pllc | Dentist | 3515 Central Pike Ste 202, Hermitage, TN 37076-2029 | 2016-07-06 |
| 1982978185 | Rsrosati Dental Corp PC | Dentist | 701 N Hermitage Rd Ste 4, Hermitage, PA 16148-3250 | 2012-03-06 |
| 1538461025 | Sunny Chandravadan Bant | Dentist | 3913 Lebanon Pike, Hermitage, TN 37076-2011 | 2010-12-03 |
| 1780910067 | Maria Paula Fedler | Dentist | 5045 Old Hickory Blvd Ste 102, Hermitage, TN 37076-2581 | 2009-10-21 |
| 1275707135 | James C. Fusco, D.d.s., P.C. | Dentist | 303 Spring St, Hermitage, MO 65668-0105 | 2008-04-22 |
| 1114146537 | Robert Terry Winfree | Dentist | 4243 Lebanon Pike, Hermitage, TN 37076 | 2007-04-24 |
| 1356472591 | James L Kendrick | Dentist | 5518 Old Hickory Blvd, Hermitage, TN 37076-2583 | 2007-03-08 |
| 1679635288 | Terrance Joseph Wolf | Dentist | 1049 N Hermitage Rd., Hermitage, PA 16148-3114 | 2006-12-14 |
| Find all providers in HERMITAGE | ||||
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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.