Sasha M Baston, D.D.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Smyrna, TN
NPI 1083911713 · NPPES record last updated Nov 18, 2024
Key facts
- NPI
- 1083911713
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 11291 (TN)
- Practice address
- 739 President PL Ste 210
Smyrna, TN 37167-6846 - Phone
- (615) 625-6900
- NPI assigned
- Feb 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0560651 | NY | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 11291 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Generation Dental Group | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 0560651 | NY | |
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | 11291 | TN | Yes |
Addresses
Primary practice location
739 President PL Ste 210
Smyrna, TN 37167-6846
Mailing address
739 President PL Ste 210
Smyrna, TN 37167-6846
Phone (615) 625-6900
Other providers in Smyrna, TN
- Mary C Barnes
- Samantha Cootes Barnes
- Katrina Barnett
- Avey Basham
- Natalie Christine Bass
- Ryan Michael Baumann
- Caroline Baynes-Fast
- Jared Kirby Baysinger
- Matthew Meyer Beard
- Douglas Craig Beatty
All providers in Smyrna, TN · Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2024. 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.