Christian Brown, DDS
Individual provider Active NPI Dentist · Hermitage, TN
NPI 1154997484 · NPPES record last updated Sep 1, 2023
Key facts
- NPI
- 1154997484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12224 (TN)
- Practice address
- 3786 Central Pike Ste 100
Hermitage, TN 37076-3498 - Phone
- (615) 889-3609
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
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 |
|---|---|---|---|
| 7471 | OK | MD | Dentist |
| 12224 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonecrest Family Dental PLLC | Current |
Accepting new patients | |
| Summit Family Dental PLLC | Current |
Accepting new patients | |
| Summer Dental Shawnee PLLC | Dentist | Past |
Accepting new patients |
Locations
3786 Central Pike
Ste 100
Hermitage, TN 37076
Phone (615) 889-3609
1730 Lee Victory Pkwy
Smyrna, TN 37167
Phone (615) 355-0269
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7471 | OK | |
| Dentist | 122300000X | 12224 | TN | Yes |
Addresses
Primary practice location
3786 Central Pike Ste 100
Hermitage, TN 37076-3498
Mailing address
3786 Central Pike Ste 100
Hermitage, TN 37076-3498
Phone (615) 889-3609
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2023. 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.