ORAL SURGERY SPECIALISTS OF BRENTWOOD (NPI# 1104170547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104170547 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY SPECIALISTS OF BRENTWOOD |
| Practice Address |
7004 Moores Ln Brentwood TN 37027-2905 |
| Mailing Address |
360 Cool Springs Blvd Suite 102 Franklin TN 37067-7215 |
| Practice Telephone | 6157713535 |
| Practice Fax Number | 6157711991 |
| Mailing Telephone | 6157713535 |
| Mailing Fax Number | 6157711991 |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |
| Authorized Official Name | DR. ADAM S PITTS (ORAL SURGEON) |
| Authorized Official Telephone | 6157713535 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
TN | Dental Providers |
| Street Address |
7004 MOORES LN |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932430980 | Joel D. Cooper | Dentist | 7004 Moores Ln, Brentwood, TN 37027-2905 | 2010-01-14 |
| 1548683311 | Lucas Orthodontics Brentwood, Pllc | Dentist | 7004 Moores Ln, Brentwood, TN 37027-2905 | 2014-01-29 |
| 1437444528 | Brandon Micah Foltz | Dentist | 7004 Moores Ln, Brentwood, TN 37027-2905 | 2011-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831391515 | Dikran Deragopian | Dentist | 4411 Balfour Rd Ste B, Brentwood, CA 94513-1526 | 2007-06-04 |
| 1093932428 | Marek Adamiak | Dentist | 7106 Moores Ln, Brentwood, TN 37027-2903 | 2007-04-19 |
| 1629291091 | Jesse Michael Fa | Dentist | 2201 Balfour Rd Ste E, Brentwood, CA 94513-4927 | 2007-04-11 |
| 1932177698 | Anthony P Urbanek | Dentist | 8119 Isabella Ln Ste 108, Brentwood, TN 37027 | 2006-03-09 |
| 1891779278 | John L Guariglia | Dentist | 601 Suffolk Avenue, Ste 2, Brentwood, NY 11717 | 2005-11-30 |
| 1134123623 | Michael A. Arrow | Dentist | 2201 Balfour Rd, Ste E, Brentwood, CA 94513-4927 | 2005-06-13 |
| 1649689597 | Jesse M. Fa, Dds, Inc | Dentist | 2201 Balfour Rd Ste E, Brentwood, CA 94513-4927 | 2014-08-05 |
| 1891809695 | David Morgan Malin | Dentist | 343 Franklin Road, Suite 106, Brentwood, TN 37027-5250 | 2006-08-18 |
| 1831133362 | Christopher M First | Dentist | 601 Suffolk Ave, Suite 2, Brentwood, NY 11717-4309 | 2006-06-15 |
| 1093753758 | Suffolk Oral Surgery Associates LLP | Dentist | 601 Suffolk Ave, Suite 2, Brentwood, NY 11717-4309 | 2006-06-03 |
| Find all providers in BRENTWOOD | ||||
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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.