Boulevard Dental PLLC

Organization Active NPI General Practice Dentistry · Fairview, TN

NPI 1114865672 · NPPES record last updated Apr 2, 2026

Key facts

NPI
1114865672
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
BOULEVARD DENTAL PLLC
Practice address
2280 Fairview Blvd
Fairview, TN 37062-9048
Phone
(770) 328-9963
NPI assigned
Mar 24, 2026
Organization subpart
No

Authorized official

Name
Dr. Johnna Hayman, DMD
Title
Owner
Phone
(615) 544-6450

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

2280 Fairview Blvd
Fairview, TN 37062-9048

Mailing address

2280 Fairview Blvd
Fairview, TN 37062-9048
Phone (615) 544-6450

Other providers in Fairview, TN

All providers in Fairview, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.