Tom Spain Bigham III, DDS
Individual provider Active NPI General Practice Dentistry · Fayetteville, TN
NPI 1144388992 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144388992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS2404 (TN)
- Practice address
- 608 West College Street
Fayetteville, TN 37334 - Phone
- (931) 433-6169
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| DS2404 | TN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS2404 | TN | Yes |
Addresses
Primary practice location
608 West College Street
Fayetteville, TN 37334
Mailing address
608 West College Street
Fayetteville, TN 37334
Phone (931) 433-6169
Other providers in Fayetteville, TN
- Natalie Batchelor
- Beauty Vibes Studios
- Lana Sharon Beavers
- Walter Charles Bennett Jr.
- Andrea Teal Bergman
- Bio-Medical Applications of Tennessee, Inc.
- Andrew Black
- Blessed Care
- Caitlin Alyse Bradford
- Amanda Bradley
All providers in Fayetteville, 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 8, 2007. 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.