Individual provider · NPI-1

Dr. Jon Derek Baese, D.D.S.

Dentist, General Practice · Franklin, TN

NPI number1164733424
StatusActive
Last updated in NPPESMay 29, 2025

Details

NPI
1164733424
Entity type
Individual (NPI-1)
Name
Dr. Jon Derek Baese
Credential
D.D.S.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 1, 2010
Certification date
May 29, 2025
Last updated
May 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeDS9165TNYes

Practice location

4020 Hughes Xing
Franklin, TN 37064-1469

Phone 615-435-3274

Mailing address

5333 Overton Rd
Nashville, TN 37220-1924

Phone 615-554-9021

Other practice locations

4900 Centennial Blvd Ste 104
Nashville, TN 37209-1111

Phone 615-933-5800

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