Healthcare Provider Details

I. General information

NPI: 1962310755
Provider Name (Legal Business Name): WINCHESTER FAMILY DENTISTRY TN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1741 BYPASS RD
WINCHESTER TN
37398-2338
US

IV. Provider business mailing address

1741 BYPASS RD
WINCHESTER TN
37398-2338
US

V. Phone/Fax

Practice location:
  • Phone: 931-967-4143
  • Fax: 931-967-8435
Mailing address:
  • Phone: 931-967-4143
  • Fax: 931-967-8435

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: DR. GARRETT ORR
Title or Position: OWNER
Credential: DDS
Phone: 931-967-4143