Homa Amedy, DMD
Individual provider Active NPI Dentist · Spring Hill, TN
NPI 1104487073 · NPPES record last updated Dec 6, 2020
Key facts
- NPI
- 1104487073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 11038 (TN)
- Practice address
- 4816 Main St Ste a
Spring Hill, TN 37174 - Phone
- (615) 270-3319
- NPI assigned
- Jun 21, 2019
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11038 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville Aesthetics & Implants | Dentist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11038 | TN | Yes |
Addresses
Primary practice location
4816 Main St Ste a
Spring Hill, TN 37174
Mailing address
804 Century Oak CT
Nashville, TN 37211-7023
Phone (615) 635-7129
Other names
- Homa Mirzai
Other providers in Spring Hill, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2020. 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.