MEDICARE: TENNESSEE DENTAL PROFESSIONALS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1053993824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TENNESSEE DENTAL PROFESSIONALS, PC

Provider Business Mailing Address
First Line	:	2405 CRESTMOOR RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2005
Country	:	US
Telephone Number	:	615-460-0123
Fax Number	:

Provider Business Practice Location Address
First Line	:	2405 CRESTMOOR RD
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37215-2005
Country	:	US
Telephone Number	:	615-460-0123
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	TABATHA LEMKE
Credential	:
Telephone Number	:	217-540-6078

Provider Enumeration Date	:	04/22/2021
Last Update Date	:	04/22/2021

Similar Medicare Providers

1033605597 — SPENCER R BIERLEIN
Practice Location Address:

2405 CRESTMOOR RD
NASHVILLE, TN
37215-2005

Practice Phone: 615-258-6709
Practice Fax:

1578505723 — JULE J WEST MD
Practice Location Address:

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
37232-2005

Practice Phone: 615-936-2000
Practice Fax:

1699717819 — MARTHA P LEONARD MD
Practice Location Address:

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
37232-2005

Practice Phone: 615-936-2000
Practice Fax:

1386672335 — ROBERT H LATHAM MD
Practice Location Address:

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
37232-2005

Practice Phone: 615-936-2000
Practice Fax: 615-222-6616

1841421526 — LISA MARIE TRUETT APN
Practice Location Address:

3601 THE VANDERBILT CLINIC
NASHVILLE, TN
37232-2005

Practice Phone: 615-936-2000
Practice Fax:

1073874616 — JESSICA HUSTON
Practice Location Address:

4220 HARDING PIKE STE 450
NASHVILLE, TN
37205-2005

Practice Phone: 615-222-3945
Practice Fax:

Directions to “TENNESSEE DENTAL PROFESSIONALS, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.