MEDICARE: TENNESSEE DENTAL PROFESSIONALS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1396176889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE DENTAL PROFESSIONALS PC

Provider Business Mailing Address
First Line	:	3016 COLUMBIA DRIVE
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-4020
Country	:	US
Telephone Number	:	615-942-8780
Fax Number	:	615-942-8715

Provider Business Practice Location Address
First Line	:	3016 COLUMBIA DRIVE
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37064-4020
Country	:	US
Telephone Number	:	615-942-8780
Fax Number	:	615-942-8715

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	CARMEN WOODS
Credential	:
Telephone Number	:	217-540-5141

Provider Enumeration Date	:	12/09/2013
Last Update Date	:	09/17/2014

Similar Medicare Providers

1700041761 — DR. AMBER BIGHAM JOHNSON D.D.S.
Practice Location Address:

4020 HUGHES XING , SUITE 140
FRANKLIN, TN
37064-1469

Practice Phone: 615-435-3274
Practice Fax: 615-435-3294

1164733424 — DR. JON DEREK BAESE D.D.S.
Practice Location Address:

4020 HUGHES XING
FRANKLIN, TN
37064-1469

Practice Phone: 615-435-3274
Practice Fax:

1235525791 — DR. LALITA NEKKANTI
Practice Location Address:

4020 HUGHES CROSSING
FRANKLIN, TN
37064

Practice Phone: 615-435-3274
Practice Fax:

1902432172 — BERRY FARMS DENTAL
Practice Location Address:

4020 HUGHES XING STE 140
FRANKLIN, TN
37064-1468

Practice Phone: 615-435-3274
Practice Fax:

1215506613 — DR. BRANDON JEWELL DDS
Practice Location Address:

4020 HUGHES XING STE 140
FRANKLIN, TN
37064-1468

Practice Phone: 615-332-2922
Practice Fax:

1538853387 — DR. CHANDLER ANN PETTY COLE DDS
Practice Location Address:

4020 HUGHES XING
FRANKLIN, TN
37064-1469

Practice Phone: 615-435-3274
Practice Fax:

Directions to “TENNESSEE DENTAL PROFESSIONALS PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.