Healthcare Provider Details

I. General information

NPI: 1548852767
Provider Name (Legal Business Name): DR. SARAH HUMPHREYS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2021
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 TOLLGATE BLVD STE 205
THOMPSONS STATION TN
37179-1005
US

IV. Provider business mailing address

133 GARDENIA WAY
FRANKLIN TN
37064-4738
US

V. Phone/Fax

Practice location:
  • Phone: 615-656-0854
  • Fax:
Mailing address:
  • Phone: 615-560-3585
  • Fax: 800-565-1519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH A HUMPHREYS
Title or Position: OWNER
Credential: D.M.D.
Phone: 615-560-3585