Briley Stults Frady, RDH, RDA
Individual provider Active NPI Dental Hygienist · Dayton, TN
NPI 1023728391 · NPPES record last updated Nov 28, 2022
Key facts
- NPI
- 1023728391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 9376 (TN)
- Practice address
- 1272 Market St
Dayton, TN 37321-1250 - Phone
- (423) 834-9900
- Fax
- (423) 834-9901
- NPI assigned
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9376 | TN | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richland Creek Dental LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 9376 | TN | Yes |
Addresses
Primary practice location
1272 Market St
Dayton, TN 37321-1250
Mailing address
71 Woodland St
Pikeville, TN 37367-5431
Phone (423) 619-6649
Other providers in Dayton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.