Heritage Family Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HERITAGE FAMILY DENTAL, PLLC

Doing business as

Family Dental Care of Murfreesboro

Practice address

3138 S Church St Ste H
Murfreesboro, TN 37127-7263

Phone

(615) 849-3522

NPI assigned

Apr 10, 2018

Last updated

May 28, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

HERITAGE FAMILY DENTAL, PLLCAs reported in NPPES

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

Authorized official

Name

Jamie Grider, DDS

Title

Owner

Phone

(615) 849-3522

Specialties & licenses 1

Addresses

Other names 1

• Family Dental Care of Murfreesboro Doing business as

Part of

Heritage Family Dental PLLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mustafa Alwan, DDS

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1063086296
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1053818666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 S CHURCH ST STE H",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277263",
            "telephone_number": "615-849-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3138 S CHURCH ST STE H",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371277263",
            "telephone_number": "615-849-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY DENTAL, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE FAMILY DENTAL, PLLC",
        "enumeration_date": "2018-04-10",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "GRIDER",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-849-3522",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care of Murfreesboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Lee Henry Jr.
• Timothy M Henschel, MD
• Chauncey Allan Hensley, DMD
• Robyn Michele Hepler, P.T.A.
• Bryant Herbert
• Heritage Park Endodontics
• Michael Herlevic, M.D.
• Paula Virginia Hernandez Estevez
• Lane Eren Herndon, OD
• Luke Herndon

• General Practice Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, 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 May 28, 2021; 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.