Southeastern Dental Of Mt Juliet Pllc

LBN: Southeastern Dental Of Mt Juliet Pllc
Southeastern Dental Of Mt Juliet Pllc is an health care organization with primary practice located at 631 S Mount Juliet Rd , Mt Juliet TN 37122-6319. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Southeastern Dental Of Mt Juliet Pllc can be contacted via phone (615) 754-6677, or through Metcalf, Vickie via phone (615) 568-3258.

Contact Information

Primary practice address
631 S Mount Juliet Rd Mt Juliet TN 37122-6319
Phone: (615) 754-6677
Fax: (615) 773-5002
Website:
Map and Directions
Authorized official contact:
Name: Metcalf, Vickie
Phone: (615) 568-3258

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1568021285
LBN Legal business name Southeastern Dental Of Mt Juliet Pllc
DBA Doing business as
Authorized official Metcalf, Vickie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2019
Last updated Jun 6th, 2019 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568021285 NPPES
Other 1164592226 DARREN FOSTER, DDS
Other 1700203007 DARREN FOSTER, DDS
Other 1932652302 DARREN FOSTER, DDS

Popular Providers