1043603996 NPI number — DENTAL SPECIALTY EDUCATION, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043603996 NPI number — DENTAL SPECIALTY EDUCATION, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DENTAL SPECIALTY EDUCATION, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043603996
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/07/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
451 MURFREESBORO PIKE
Provider Second Line Business Mailing Address:
BUILDING 1
Provider Business Mailing Address City Name:
NASHVILLE
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37210-2842
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-256-7543
Provider Business Mailing Address Fax Number:
615-256-8895

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
451 MURFREESBORO PIKE
Provider Second Line Business Practice Location Address:
BUILDING 1
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37210-2842
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-256-7543
Provider Business Practice Location Address Fax Number:
615-256-8895
Provider Enumeration Date:
03/16/2015

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
EWING
Authorized Official First Name:
SABIN
Authorized Official Middle Name:
KANE
Authorized Official Title or Position:
CLINICAL DENTAL DIRECTOR OF SCHOOL
Authorized Official Telephone Number:
615-256-7543

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223P0106X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223X0400X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1223P0221X , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1043603996 . This is a "GROUP NPI" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: Q012250 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".