Organization Active NPI

Dental Specialty Group

  • Oral and Maxillofacial Pathology Dentistry
  • Nashville, TN
National Provider Identifier
1114199734
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
DS7570 Issued in TN
Legal business name
DENTAL SPECIALTY GROUP
Practice address
390 Harding PL
Suite 101
Nashville, TN 37211-3998
Phone
(615) 832-6460
Fax
(615) 832-6461
NPI assigned
Mar 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Mrs. Tania Nkungula-Howlett, DDS
Title
Owner/Dentist
Phone
(615) 832-6460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X DS7570 TN Primary

Addresses

Primary practice location

390 Harding PL
Suite 101
Nashville, TN 37211-3998

Mailing address

390 Harding PL
Suite 101
Nashville, TN 37211-3998
Phone (615) 832-6460

Other identifiers 2

IdentifierTypeStateIssuer
3226456MedicaidTN
3209516MedicaidTN

National Provider Directory

National Provider Directory

Locations

390 Harding Pl
Ste 101
Nashville, TN 37211
Phone (615) 285-3949

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1114199734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 HARDING PL",
            "address_2": "SUITE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113998",
            "telephone_number": "615-832-6460",
            "fax_number": "615-832-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 HARDING PL",
            "address_2": "SUITE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113998",
            "telephone_number": "615-832-6460",
            "fax_number": "615-832-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "NKUNGULA-HOWLETT",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "615-832-6460",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TN",
            "license": "DS7570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3226456",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3209516",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.