Pediatric Dental Centers, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS0000005201 Issued in TN

Legal business name

PEDIATRIC DENTAL CENTERS, PC

Practice address

601 NW Atlantic St
Suite a
Tullahoma, TN 37388-3536

Phone

(931) 455-8003

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steve R. Lynn, DDSNPI 1417063579

Title

President

Phone

(931) 455-8003

Specialties & licenses 1

Addresses

Other names 1

• in care of Steve R. Lynn, DDS Former legal business name

Locations

Practitioners 1

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

• Steve Randall Lynn, DDS

  • Pediatric Dentistry
  • Tullahoma, TN
  • NPI 1417063579
  NPD (past) Authorized official

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1063665040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 NW ATLANTIC ST",
            "address_2": "SUITE A",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883536",
            "telephone_number": "931-455-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW ATLANTIC ST",
            "address_2": "SUITE A",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883536",
            "telephone_number": "931-455-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "LYNN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "931-455-8003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS0000005201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "in care of Steve R. Lynn, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gwendolyn Patterson
• Phillip Lane Patterson Sr., O.D.
• Teresa M Patterson, MD
• Dusti Louise Patton, BSN, RN
• Peak Behavioral Strategies
• Anne-Marie Shelton Pender, RN
• Thomas F Perkins, M.D.
• Melissa Ann Perry, FNP
• Peter M. Klara, M.D., PC
• Tasha Denise Peter, OTR/L

• Pediatric Dentistry in Tullahoma, TN
• Providers in Tullahoma, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.