RICHLAND CREEK DENTAL GROUP, PLLC (NPI# 1619379963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619379963 |
| Entity Type | Organization |
| Organization Name | RICHLAND CREEK DENTAL GROUP, PLLC |
| Other Organization Name | DENTISTRY OF NASHVILLE |
| Practice Address |
2125 Blakemore Ave Nashville TN 37212-3505 |
| Practice Telephone | 6153833690 |
| Practice Fax Number | 6153833697 |
| Mailing Telephone | 6153833690 |
| Mailing Fax Number | 6153833697 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | CHRISTINA SANDOVAL (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Telephone | 6154775815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
7873 | TN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dentistry of Nashville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538729827 | Richland Creek Dental Group, Pllc | Dentist | 3538 Murfreesboro Pike Ste 305, Antioch, TN 37013-2580 | 2019-06-18 |
| 1336788470 | Richland Creek Dental Group, Pllc | Clinic/Center | 313 Bluebird Dr, Goodlettsville, TN 37072-2303 | 2020-01-06 |
| 1851951156 | Richland Creek Dental Group, Pllc | Dentist | 210 E Main St, Waverly, TN 37185-2120 | 2019-06-18 |
| 1053971341 | Richland Creek Dental Group, Pllc | Dentist | 102 Highway 70 E Ste 2, Dickson, TN 37055-7013 | 2019-06-18 |
| Street Address |
2125 BLAKEMORE AVE |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073624086 | James Mcgavock Fleming Jr. | Dentist | 2125 Blakemore Ave, Nashville, TN 37212-3505 | 2006-08-31 |
| 1518577402 | Megan Chavana | Dentist | 2125 Blakemore Ave, Nashville, TN 37212-3505 | 2020-08-05 |
| 1629470984 | Robert S Elam Dds, PC | Clinic/Center | 2125 Blakemore Ave, Nashville, TN 37212-3505 | 2014-09-18 |
| 1730502444 | Michael D. Vaughan, Dds, Plc | Clinic/Center | 2125 Blakemore Ave, Nashville, TN 37212-3505 | 2014-01-31 |
| 1982783056 | Cheryl Ann Scott | Dentist | 2125 Blakemore Ave, Nashville, TN 37212-3505 | 2006-11-02 |
| 1306957220 | Robert Southgate Elam I | Dentist | 2125 Blakemore Ave, Nashville, TN 37212-3505 | 2006-08-31 |
| 1497866834 | Michael D Vaughan | Dentist | 2125 Blakemore Ave, Nashville, TN 37212-3505 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346719036 | Hancock Dentistry Hillsboro Village | Clinic/Center | 2505 21st Ave S Ste 101, Nashville, TN 37212-5652 | 2018-11-25 |
| 1760985360 | Green Hills Dental Center, Pllc | Clinic/Center | 2000 Richard Jones Rd Ste 109, Nashville, TN 37215-2885 | 2018-03-10 |
| 1699281790 | West End Smiles, Inc | Clinic/Center | 1800 W End Ave Ste 102, Nashville, TN 37203-2506 | 2017-12-27 |
| 1386009579 | Nashville Smiles PC | Clinic/Center | 4336 Sneed Rd, Nashville, TN 37215-3242 | 2015-12-15 |
| 1700275344 | Bronxcare Health System | Clinic/Center | 1284 Spring Creek Dr, Nashville, TN 37209 | 2015-01-20 |
| 1003107673 | Meharry Medical College, School of Dentistry | Clinic/Center | 1007 Db Todd Blvd, Meharry Medical College, School of Dentistry 1007db Tod, Nashville, TN 37208 | 2011-04-29 |
| 1659480804 | Gaston & Murrell Family Dentistry Pllc | Clinic/Center | 2211 Crestmoor Rd, Nashville, TN 37215-2020 | 2006-08-30 |
| 1447881305 | Affordable New Smile Pllc | Clinic/Center | 4003 Charlotte Ave, Nashville, TN 37209-3703 | 2020-01-30 |
| 1720629025 | Elite Endodontics Pllc | Clinic/Center | 7518 Highway 70 S Ste B, Nashville, TN 37221-1847 | 2019-10-08 |
| 1003468422 | Access Dental | Clinic/Center | 1916 Patterson St, Nashville, TN 37203-2120 | 2019-07-16 |
| Find all providers in NASHVILLE | ||||
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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.