MH DMD of Tennessee, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MH DMD OF TENNESSEE, PLLC

Doing business as

Smile Store

Practice address

2126 Abbott Martin Rd Ste 168
Nashville, TN 37215-2619

Phone

(800) 674-9732

NPI assigned

Feb 21, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Martin Bremer

Title

Registered Agent

Phone

(650) 649-9497

Specialties & licenses 1

Addresses

Other names 1

• Smile Store Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1285191767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 ABBOTT MARTIN RD STE 168",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152619",
            "telephone_number": "650-649-9497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 ABBOTT MARTIN RD STE 168",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152619",
            "telephone_number": "800-674-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH DMD OF TENNESSEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "BREMER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "650-649-9497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marilyn Gautreau Meyers
• Stephanie S Meyers, FNP
• Jacqueline Charlene Meystedt, MD
• Haile M Mezghebe, MD
• Mga Home Healthcare Tennessee, LLC (MGA Homecare)
• MHC Uh Inc
• MHP Management Services, LLC (Pathpoint Health)
• Mi Plaza Dental
• Humayun Afzal Mian, M.D.
• Anthony Cole Micetich, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.