Active NPI
Dental Specialty Group
- Oral and Maxillofacial Pathology Dentistry
- Nashville, TN
National Provider Identifier
1114199734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- DS7570
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3226456 | Medicaid | TN | |
| 3209516 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Largo, MD
- NPI 1689663346
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.