HEARTLAND DENTAL CARE OF TENNESSEE, PC (NPI# 1407416407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407416407 |
| Entity Type | Organization |
| Organization Name | HEARTLAND DENTAL CARE OF TENNESSEE, PC |
| Other Organization Name | CUMBERLAND RIVER DENTAL CARE |
| Practice Address |
930 Highway 76 Clarksville TN 37043 |
| Practice Telephone | 9315384946 |
| Practice Fax Number | 9318203156 |
| Mailing Telephone | 9312182672 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | HEARTLAND DENTAL CARE OF TENNESSEE, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Cumberland River Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578892915 | Heartland Dental Care of Tennessee, PC | Dentist | 1315 Bell Road, Antioch, TN 37013-3077 | 2009-12-14 |
| 1205057403 | Heartland Dental Care of Tennessee, PC | Dentist | 5252 Hickory Hollow Parkway, Suite 1131, Antioch, TN 37013 | 2007-05-02 |
| 1912128117 | Heartland Dental Care of Tennessee, PC | Dentist | 5352 Hickory Hollow Parkway, Antioch, TN 37013 | 2007-05-02 |
| 1306026331 | Heartland Dental Care of Tennessee, PC | Dentist | 4515 Harding Rd, Suite 104, Nashville, TN 37205-2118 | 2007-11-07 |
| 1346433612 | Heartland Dental Care of Tennessee, PC | Dentist | 4301 Hillsboro Pike, Suite 315, Nashville, TN 37215-3345 | 2007-08-21 |
| Street Address |
930 HIGHWAY 76 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952958464 | Barbara Gallahan | Technician | 3992 Lakewood Dr., Clarksville, TN 37043 | 2019-08-20 |
| 1144874728 | Intricate Care | Registered Nurse | 2299 Raleigh Ct, Clarksville, TN 37043 | 2019-07-31 |
| 1740842145 | Caila Anne Wiblitzhouser Holm | Counselor | 755 Weatherly Drive, Clarksville, TN 37043 | 2019-07-05 |
| 1376021501 | Stephen Lawrence Rego | Case Manager/Care Coordinator | Cohen Military Family Clinic, 775 Weatherly Dr, Clarksville, TN 37043 | 2018-07-31 |
| 1366928095 | Kendra Lee | Social Worker | 775 Weatherly Dr., Clarksville, TN 37043 | 2018-07-16 |
| 1245742931 | Andrea L Edelstein | Dentist | 1818 Memorial Dr., Unit 47, Clarksville, TN 37043 | 2017-11-02 |
| 1043736119 | Megan Pritchett Landre | Behavior Technician | 990 South Ridge Trail, Clarksville, TN 37043 | 2017-08-20 |
| 1932624798 | Sandra Melissa Corral | Behavior Technician | 139e Old Trenton Rd, Suite B, Clarksville, TN 37043 | 2017-08-13 |
| 1700306032 | Sahiti Kandati | Dentist | 1777 Madison Ste Ste 100, Clarksville, TN 37043 | 2017-06-27 |
| 1659809978 | Rachel Allison Olive | Behavioral Analyst | 2116 Richview Pl, Clarksville, TN 37043 | 2017-05-31 |
| Find all providers in zip 37043 | ||||
| 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 |
|---|---|---|---|---|
| 1013553916 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 2766 Wilma Rudolph Blvd Ste A2, Clarksville, TN 37040-5810 | 2019-11-26 |
| 1659732980 | George A Bare Jr Dmd Pllc | Dentist | 237 Dunbar Cave Rd, Suite A, Clarksville, TN 37043-8852 | 2016-03-15 |
| 1568847069 | Sara Hyun Seung Oh | Dentist | 1692 Fort Campbell Blvd, Clarksville, TN 37042 | 2015-07-25 |
| 1639564628 | Hower Dental Pllc | Dentist | 1011 Highway 76 Ste B, Clarksville, TN 37043-2531 | 2015-04-06 |
| 1659774040 | Tennessee Dental Professionals PC | Dentist | 2207 Lowes Dr W Ste A, Clarksville, TN 37040-6964 | 2014-09-30 |
| 1528494432 | Jeffrey Trembley | Dentist | 1502 Tiny Town Rd, Suite A, Clarksville, TN 37042 | 2013-09-24 |
| 1407281868 | Mortenson Family Dental Center- Clarksville | Dentist | 1240 Veterans Pkwy, Suite 100, Clarksville, IN 47129-2394 | 2013-09-04 |
| 1184911539 | Nina Ferrell Biggs | Dentist | 2289 Rudolphtown Road, Suite A, Clarksville, TN 37043 | 2011-07-06 |
| 1891085775 | Cdp LLC | Dentist | 513 E Lewis and Clark Pkwy, Clarksville, IN 47129-1729 | 2011-04-13 |
| 1851699284 | Richview Family Dentistry | Dentist | 2289 Rudolphtown Rd, Suite A, Clarksville, TN 37043-2230 | 2011-03-09 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37043 |
Please comment or provide details below to improve the information on HEARTLAND DENTAL CARE OF TENNESSEE, PC.
| 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.