EAST NASHVILLE PEDIATRIC DENTISTRY, PLLC (NPI# 1326685132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326685132 |
| Entity Type | Organization |
| Organization Name | EAST NASHVILLE PEDIATRIC DENTISTRY, PLLC |
| Practice Address |
1077 E Trinity Ln Ste 104 Nashville TN 37216-3067 |
| Mailing Address |
1809 Mcewen Ave Nashville TN 37206-1856 |
| Practice Telephone | 6156694858 |
| Practice Fax Number | 6156694859 |
| Mailing Telephone | 6156694858 |
| Mailing Fax Number | 6156694859 |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2019-11-30 |
| Authorized Official Name | MARISSA SANDIDGE (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 7706336566 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
1077 E TRINITY LN STE 104 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37216-3067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558984096 | Good Shepherd Senior Services | Hospice Care, Community Based | Good Shepherd Senior Services, 1134 Murfreesboro Pike, Nashville, TN 37216 | 2020-05-19 |
| 1689144255 | Ashlee Saylor Jackson | Nurse Practitioner | 1442 Mcalpine Ave, Nashville, TN 37216 | 2018-11-27 |
| 1811435944 | A Brighter Day Support Services, Inc | Community/Behavioral Health | 107-b Point East Drive, Nashville, TN 37216 | 2017-02-09 |
| 1639546187 | United Neighborhood Health Services, Inc. | Clinic/Center | 3904 Gallatin Pike, Nashville, TN 37216 | 2015-08-31 |
| 1457696569 | Power Chiropractic | Chiropractor | 4117 Gallatin Road, Nashville, TN 37216 | 2012-11-29 |
| 1770888745 | Thomas Anthony Deering | Pathology | 1850 R.s.gass Boulevard, Nashville, TN 37216 | 2011-01-21 |
| 1417147745 | Paula C Harris | Registered Nurse | 1015 East Trinity Ln, East Health Clinic, Nashville, TN 37216 | 2007-08-01 |
| 1811020522 | Walter Maurice Gothard | Pharmacist | 3407 Gallatin Road, Nashville, TN 37216 | 2007-03-13 |
| 1952459612 | Barry W Rolin | Dentist | 4805 Gallatin Road, Rolin Hills Dental Care Inc PC, Nashville, TN 37216 | 2007-01-08 |
| 1770630220 | Myles Allen Crawford | Chiropractor | 4117 Gallatin Rd, Nashville, TN 37216 | 2007-01-05 |
| Find all providers in zip 37216 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558710665 | Little Harpeth Children's Dentistry, Pllc | Dentist | 7640 Us Hwy 70 South, Suite 101, Nashville, TN 37221 | 2016-06-09 |
| 1366602211 | Adams & Seaton Pediatric Dentistry | Dentist | 5115 Harding Pike Ste 201, Nashville, TN 37205-2722 | 2008-06-13 |
| 1316077704 | Timothy Elvin Mcnutt, Sr. | Dentist | 3817 Bedford Ave., Suite 120, Nashville, TN 37215 | 2007-03-06 |
| 1780622233 | Sandra Verlene Trice | Dentist | 304 Glengarry Dr, Nashville, TN 37217 | 2006-06-04 |
| 1649228958 | Lance E. Kisby | Dentist | 1005 Dr D B Todd Jr Blvd, Nashville, TN 37208 | 2006-05-05 |
| 1700854858 | Kim A. Smiley | Dentist | 2026 Clifton Ave, Nashville, TN 37203-1910 | 2006-03-14 |
| 1770563876 | Adolfina Montalvo Polk | Dentist | 4718 Nolensville Pike, Nashville, TN 37211-5408 | 2006-01-17 |
| 1568451755 | Edward C Perdue | Dentist | 8120 Sawyer Brown Rd, Suite 103, Nashville, TN 37221-1410 | 2005-10-19 |
| 1386197440 | Nairouz Abdelsalam | Dentist | 451 Murfreesboro Pike, Nashville, TN 37210 | 2016-07-25 |
| 1417395682 | Margaret V. Maclin | Dentist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-3866 | 2013-06-11 |
| Find all providers in NASHVILLE | ||||
Please comment or provide details below to improve the information on EAST NASHVILLE PEDIATRIC DENTISTRY, PLLC.
| 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.