Healthcare Provider Details

I. General information

NPI: 1609838515
Provider Name (Legal Business Name): NASHVILLE DENTAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 11/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3038 NOLENSVILLE RD
NASHVILLE TN
37211
US

IV. Provider business mailing address

3038 NOLENSVILLE RD
NASHVILLE TN
37211
US

V. Phone/Fax

Practice location:
  • Phone: 615-331-2483
  • Fax: 615-834-7179
Mailing address:
  • Phone: 615-331-2483
  • Fax: 615-834-7179

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MR. HUEY L NEWBERRY JR.
Title or Position: OWNER
Credential: DDS
Phone: 615-331-2483