Hermitage Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HERMITAGE MODERN DENTISTRY, PC

Doing business as

Hermitage Modern Dentistry

Practice address

4730 Lebanon Pike Ste 101
Hermitage, TN 37076-1313

Phone

(615) 219-5722

Fax

(615) 203-0752

NPI assigned

May 14, 2021

Last updated

May 14, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandra Fili, DMD

Title

Owner Dentist

Phone

(714) 845-8890

Specialties & licenses 1

Addresses

Other names 1

• HERMITAGE MODERN DENTISTRY Doing business as

Locations

Practitioners 3

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.

• Rony Jfouf Ibrahim, DDS

  • Dentist
  • Hermitage, TN
  • NPI 1003541368
  NPD
• Aliyah Sheree Futch

  • Dentist
  • Hermitage, TN
  • NPI 1114845427
  NPD (past)
• Darrian Jessica Jones, DMD

  • Dentist
  • Murfreesboro, TN
  • NPI 1225733157
  NPD (past)

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1063086080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 LEBANON PIKE STE 101",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761313",
            "telephone_number": "615-219-5722",
            "fax_number": "615-203-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "FILI",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "714-845-8890",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERMITAGE MODERN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hermitage Eye Care PLLC
• Hermitage Family & Cosmetic Dentistry, P.C.
• Hermitage Family Practice LLC
• Hermitage Inpatient Services PLLC
• Hermitage Internal Medecine PC
• Hermitage Nursing & Rehabilitation Center LLC
• Hermitage Pediatric Dentistry
• Hermitage Primary Care LLC
• Hermitage Psychiatric Group
• Hermitage TN Endoscopy ASC, LLC (Associated Endoscopy)

• General Practice Dentistry in Hermitage, TN
• Providers in Hermitage, 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 14, 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.