DR. LATASHA MICHELLE GARRETT (NPI# 1972919868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972919868 |
| Entity Type | Individual |
| Full Name | DR. LATASHA MICHELLE GARRETT |
| Credential | DDS |
| Practice Address |
495 Dunlop Ln Ste 112 Clarksville TN 37040 |
| Mailing Address |
1305 3rd Ave N Apt 145 Nashville TN 37208-2891 |
| Practice Telephone | 9312210050 |
| Mailing Telephone | 4238026234 |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9951 | TN | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 510 S Jefferson Ave, Cookeville, TN 385014010 | 9318541200 | |
| 6413 Lee Hwy Ste 119, Chattanooga, TN 374214861 | 4238026234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588136089 | Latasha Elaine Garrett | Case Manager/Care Coordinator | 216 James St, Seattle, WA 98104-5102 | 2018-12-20 |
| Street Address |
495 DUNLOP LN STE 112 |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568692242 | Andrew Joseph Vaughn | Dentist | 495 Dunlop Ln Ste 112, Clarksville, TN 37040-5296 | 2009-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| 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 |
|---|---|---|---|---|
| 1629399647 | Kevin Chambliss Kennedy Jr. | Dentist | 590 Fire Station Rd Ste C, Clarksville, TN 37043-4016 | 2010-06-14 |
| 1568692242 | Andrew Joseph Vaughn | Dentist | 495 Dunlop Ln Ste 112, Clarksville, TN 37040-5296 | 2009-07-16 |
| 1922122324 | Joseph A Fleck Dds Psc | Dentist | 412 Hale Road, Clarksville, IN 47129-1422 | 2007-03-19 |
| 1962560631 | Crystal Gilreath Rucker | Dentist | 2622 Madison St Ste G, Clarksville, TN 37043-6555 | 2006-12-05 |
| 1629173513 | Joseph A Fleck | Dentist | 412 Hale Rd, Clarksville, IN 47129-1422 | 2006-09-14 |
| 1528082682 | Karyl Jean Beauchamp | Dentist | 2297 Rudolphtown Rd, Clarksville, TN 37043 | 2006-07-26 |
| 1942292370 | David R Cheatham | Dentist | 1754 Madison St, Suite 4, Clarksville, TN 37043-2923 | 2005-08-22 |
| 1912999772 | Robert Michael Weaver | Dentist | 271 Stonecrossing Dr, Clarksville, TN 37042-8404 | 2005-08-18 |
| 1265424022 | Lary W. Deeds | Dentist | 271 Stonecrossing Dr Ste B, Clarksville, TN 37042-8404 | 2005-08-18 |
| 1538679097 | Sango Smiles Pediatric Dentistry | Dentist | 2622 Madison St Ste G, Clarksville, TN 37043-6555 | 2017-10-10 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on DR. LATASHA MICHELLE GARRETT.
| 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.