Healthcare Provider Details

I. General information

NPI: 1477498616
Provider Name (Legal Business Name): TROY HIPP CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E WALNUT ST
DICKSON TN
37055-2504
US

IV. Provider business mailing address

510 E WALNUT ST
DICKSON TN
37055-2504
US

V. Phone/Fax

Practice location:
  • Phone: 615-466-4448
  • Fax:
Mailing address:
  • Phone: 615-446-4448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: TROY HIPPENSTEEL
Title or Position: OWNER
Credential: DDS
Phone: 570-939-5982