MEDICARE: ANDREW STEVEN MITCHELL DMD

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	1223X2210X	Orofacial Pain Dentistry	10701	TN
2	1223X2210X	Orofacial Pain Dentistry	9930	KY

General Provider Information

NPI Number	:	1225559198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW STEVEN MITCHELL DMD

Provider Business Mailing Address
First Line	:	321 BILLINGSLY CT STE 14
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6445
Country	:	US
Telephone Number	:	629-264-3364
Fax Number	:	629-600-5145

Provider Business Practice Location Address
First Line	:	321 BILLINGSLY CT STE 14
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37067-6445
Country	:	US
Telephone Number	:	629-264-3364
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2017
Last Update Date	:	11/11/2025

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