Brookhaven Family Dentistry

LBN: Dental Practice Group Of Tennessee
Brookhaven Family Dentistry is an health care organization with primary practice located at 775 E Brookhaven Cir , Memphis TN 38117-4501. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Dental Practice Group Of Tennessee can be contacted via phone (901) 682-3100, or through Schiaparelli, Nancy via phone (727) 800-8040.

Contact Information

Primary practice address
775 E Brookhaven Cir Memphis TN 38117-4501
Phone: (901) 682-3100
Fax: (901) 682-9848
Website:
Map and Directions
Authorized official contact:
Name: Schiaparelli, Nancy
Phone: (727) 800-8040

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1891043204
LBN Legal business name Dental Practice Group Of Tennessee
DBA Doing business as Brookhaven Family Dentistry
Authorized official Schiaparelli, Nancy
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2012
Last updated Mar 30th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891043204 NPPES
Tennessee MEDICAID Q011942
Tennessee MEDICAID 7100178860

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