Hendersonville Imperial Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HENDERSONVILLE IMPERIAL DENTAL CARE

Practice address

537 E. Main St.
Hendersonville, TN 37075

Phone

(615) 822-0833

Fax

(615) 590-7943

NPI assigned

Jun 30, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Samantha Jo Wence, DDSNPI 1902281488

Title

Doctor

Phone

(615) 822-0833

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Jo Wence, DDS

  • Dentist
  • Hendersonville, TN
  • NPI 1902281488
  NPD Authorized official
• Candace Gallowitz, DDS

  • General Practice Dentistry
  • Hendersonville, TN
  • NPI 1194395558
  NPD
• Jodi Lee Hill

  • Dentist
  • Hendersonville, TN
  • NPI 1114815800
  NPD
• Kyle Humphrey

  • General Practice Dentistry
  • Spring Hill, TN
  • NPI 1003468232
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1003486267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 IMPERIAL BLVD STE 1",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753492",
            "telephone_number": "615-822-0833",
            "fax_number": "615-590-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 E. MAIN ST.",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "37075",
            "telephone_number": "615-822-0833",
            "fax_number": "615-590-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE IMPERIAL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-08-30",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "WENCE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "615-822-0833",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "imperialdentalcaretn.com",
            "affiliation": "N",
            "address_1": "107 Imperial Blvd Ste 1",
            "city": "Hendersonville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370753492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hendersonville Hospital Corporation
• Hendersonville Hospital Corporation
• Hendersonville Hospital Corporation
• Hendersonville Hospital Corporation
• Hendersonville Hospitalist Services Inc
• Hendersonville OB/GYN, LLC
• Hendersonville OBGYN LLC
• Hendersonville Obstetrics and Gynecology
• Hendersonville Obstetrics and Gynecology PLLC
• Hendersonville Pharmacy LLC

• General Practice Dentistry in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.