John S Paffrath, DDS – General Practice Dentistry

Key facts

NPI: 1114980349
Entity type: Individual (NPI type 1)
Primary specialty: General Practice Dentistry 1223G0001X
License: DS4216 (TN)
Practice address: 4889 East Main Street
Erin, TN 37061-4115
Phone: (931) 289-4228
Fax: (931) 289-5832
NPI assigned: Apr 10, 2006
Sex: Male
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hilcrest Dental Clinic Inc. Dentist · Erin, TN · NPI 1558798280

NPD (past)

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
DS4216	TN	MD	General Practice Dentistry

Practice roles

Organization	Specialty	Status	New patients
Hilcrest Dental Clinic Inc.		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry	1223G0001X	DS4216	TN	Yes

Addresses

Primary practice location

4889 East Main Street
Erin, TN 37061-4115

Mailing address

4889 East Main Street
Erin, TN 37061-4115
Phone (931) 289-4228

Other identifiers

Identifier	Type	State	Issuer
3224979	Medicaid	TN

Other providers in Erin, TN

All providers in Erin, TN · General Practice 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 Jul 15, 2014. 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.

Verify at the official NPI Registry.