Active NPI
Lewisburg Smile Studio
- Dental Clinic/Center
- Lewisburg, TN
National Provider Identifier
1003669912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond C Branch, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- Lewisburg, TN
- NPI 1992923338
-
- General Practice Dentistry
- Lewisburg, TN
- NPI 1821216755
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.