BRENTWOOD ENDODONTICS LLC (NPI# 1386168607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386168607 |
| Entity Type | Organization |
| Organization Name | BRENTWOOD ENDODONTICS LLC |
| Other Organization Name | BRENTWOOD ENDODONTICS LLC |
| Practice Address |
5111 Maryland Way Suite 209 Brentwood TN 37027 |
| Mailing Address |
5111 Maryland Way Ste 209 Brentwood TN 37027-7513 |
| Practice Telephone | (615) 376-8865 |
| Practice Fax Number | 6153737699 |
| Mailing Telephone | 6153768865 |
| Mailing Fax Number | 6153737699 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MRS. TAMMY HOWARD (OFFICE MANAGER) |
| Authorized Official Telephone | 6153768865 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
7113 | TN | Dental Providers |
| Other Name | Type Code |
|---|---|
| Brentwood Endodontics LLC | Doing Business As Name - Organization |
| Vince E. Hicks DDS | Other Name - Individual/Organization |
| Street Address |
5111 MARYLAND WAY SUITE 209 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027 |
| 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 |
| 1730600503 | Virginia Poag | Social Worker | 1604 Westagte Circle, Ste 250, Brentwood, TN 37027 | 2017-07-03 |
| Find all providers in zip 37027 | ||||
| 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 |
|---|---|---|---|---|
| 1609239557 | Christina Penn | Dentist | 1140 2nd St Ste B, Brentwood, CA 94513-2223 | 2016-03-29 |
| 1811398951 | Poppy Montana-marie Blaseio | Dentist | 5111 Maryland Way Ste 209, Brentwood, TN 37027-7513 | 2014-09-09 |
| 1992892814 | David M Dobin | Dentist | 1140 Second Street, Suite B, Brentwood, CA 94513 | 2006-10-10 |
| 1629203989 | Robert Lawrence Dictrow | Dentist | 652 Suffolk Ave, Brentwood, NY 11717-4391 | 2009-05-15 |
| 1225240385 | Robert Dictrow Dds, Bruce S. Logue Dds, PC | Dentist | 652 Suffolk Avenue, Brentwood, NY 11717 | 2007-05-03 |
| 1497835821 | Vincent E Hicks | Dentist | 5111 Maryland Way, Suite 209, Brentwood, TN 37027 | 2006-10-17 |
| 1013931898 | Ronald Stevens Wright Jr. | Dentist | 1177 Old Hickory Blvd, Suite 202, Brentwood, TN 37027-4241 | 2006-07-26 |
| 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 |
| 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 |
| 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 |
| 1912205790 | C. Bradley Davis | Dentist | 1017 Executive Dr Ste 102, Hixson, TN 37343-7911 | 2011-03-03 |
| 1407152135 | Apex Endodontics of Tn Pllc | Dentist | 1050 Glenbrook Way, Suite 350, Hendersonville, TN 37075-1241 | 2011-01-27 |
| 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.