Tennessee Family Dental Bellevue PC
Clinic/Center, Dental in Nashville, TN. Organization (NPI-2).
Details
- NPI
- 1104492008
- Entity type
- Organization (NPI-2)
- Legal business name
- Tennessee Family Dental Bellevue PC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2021
- Certification date
- Jun 1, 2021
- Last updated
- Jun 1, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
917 Harpeth Valley PlNashville, TN 37221-1141
Phone 615-646-5151 · Fax 616-469-1036
Mailing address
4025 W Main St Ste 102Kalamazoo, MI 49006-3726
Phone 269-388-5832 · Fax 616-469-1036
Authorized official
Jessica Martinez
Billing Manager
2693885832
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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