Organization Active NPI

Lewisburg Smile Studio

  • Dental Clinic/Center
  • Lewisburg, TN
National Provider Identifier
1003669912
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LEWISBURG SMILE STUDIO
Practice address
302 W Church St
Lewisburg, TN 37091-2730
Phone
(931) 359-6154
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Dr. Raymond C Branch, DMDNPI 1992923338
Title
Owner
Phone
(615) 418-9021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

302 W Church St
Lewisburg, TN 37091-2730

Mailing address

1508 Highway 64 W
Shelbyville, TN 37160-6315
Phone (615) 418-9021

National Provider Directory

National Provider Directory

Locations

302 W Church St
Lewisburg, TN 37091
Phone (931) 359-6154

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1003669912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HIGHWAY 64 W",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371606315",
            "telephone_number": "615-418-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W CHURCH ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912730",
            "telephone_number": "931-359-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWISBURG SMILE STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-418-9021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.