Paul Samuel Deines, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11993 Issued in TN

Practice address

697 President PL
Smyrna, TN 37167-5673

Phone

(615) 459-5515

NPI assigned

Aug 15, 2017

Last updated

Feb 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• TW New Dentistry, PLLC

  dba Bratten Dental

  • Dental Clinic/Center
  • Smyrna, TN
  • NPI 1508503848
  NPD

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1083130793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 PRESIDENT PL",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675673",
            "telephone_number": "615-459-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 PRESIDENT PL",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675673",
            "telephone_number": "615-459-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEINES",
        "first_name": "PAUL",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-15",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9959",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Shay Davidson
• Dadra Davis
• Mackenzie Faith Davis
• Jeffrey R Day, PA-C
• Victor Paul Dec
• Jessica Delay, CCC-SLP
• Abbe Gail Delong, LMFT
• Cynthia Renee Demonbreum, NURSE PRACTITIONER
• Rachel Michele Deneve, PA
• Dental Edge of Smyrna (Cedar Grove Dentistry)

• Dentist in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.