Healthcare Provider Details

I. General information

NPI: 1588586135
Provider Name (Legal Business Name): GARITTY PEDIATRIC DENTISTRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 BATTALION BLVD
MURFREESBORO TN
37128-4386
US

IV. Provider business mailing address

5603A PENNSYLVANIA AVE
NASHVILLE TN
37209-1438
US

V. Phone/Fax

Practice location:
  • Phone: 225-329-5020
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS NELSON GARITTY
Title or Position: OWNER
Credential: DDS,MSD
Phone: 225-329-5020