NPIMap

Organization Active NPI

Periodontal & Implant Associates of Middle Tennessee PLLC

  • Periodontics
  • Franklin, TN
National Provider Identifier
1396472601
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIODONTAL & IMPLANT ASSOCIATES OF MIDDLE TENNESSEE PLLC
Practice address
101 Forrest Crossing Blvd.
Ste. #105B
Franklin, TN 37064-5430
Phone
(615) 794-4226
NPI assigned
Aug 5, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Dr. Robert P Pulliam, DMD, MS
Title
Periodontist/Owner
Phone
(615) 794-4226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

101 Forrest Crossing Blvd.
Ste. #105B
Franklin, TN 37064-5430

Mailing address

101 Forrest Crossing Blvd.
Ste. #105B
Franklin, TN 37064-5430
Phone (615) 794-4226

National Provider Directory

National Provider Directory
Tax ID family
Periodontal Implant Associates of Middle Tennessee PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Forrest Crossing Blvd
Ste 105B
Franklin, TN 37064
Phone (615) 794-4226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1396472601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FORREST CROSSING BLVD.",
            "address_2": "STE. #105B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645430",
            "telephone_number": "615-794-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FORREST CROSSING BLVD.",
            "address_2": "STE. #105B",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645430",
            "telephone_number": "615-794-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTAL & IMPLANT ASSOCIATES OF MIDDLE TENNESSEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PERIODONTIST/OWNER",
        "authorized_official_telephone_number": "615-794-4226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.