NPIMap

Organization Active NPI

Dentistry of Lewisburg

  • Dental Clinic/Center
  • Lewisburg, TN
National Provider Identifier
1396563946
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTISTRY OF LEWISBURG
Doing business as
Dentistry of Lewisburg
Practice address
1360 S Ellington Pkwy
Lewisburg, TN 37091-4324
Phone
(931) 308-4292
NPI assigned
Oct 2, 2024
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
EAST NASHVILLE AESTHETIC DENTISTRY PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Dr. Skylor Morton, DDS
Title
Ceo/Doctor
Phone
(615) 970-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1360 S Ellington Pkwy
Lewisburg, TN 37091-4324

Mailing address

20 Old Pleasant Grove Rd
Mount Juliet, TN 37122-3879
Phone (615) 970-2300

Other names 1

  • Dentistry of Lewisburg Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Nashville Aesthetic Dentistry PLLC6 organizations share this tax ID, including this one
Part of
East Nashville Aesthetic Dentistry PLLC

Other organizations with this tax ID 5

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

Locations

1360 S Ellington Pkwy
Lewisburg, TN 37091
Phone (931) 308-4292

20 Old Pleasant Grove Rd
Mt Juliet, TN 37122
Phone (615) 758-3833

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1396563946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OLD PLEASANT GROVE RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223879",
            "telephone_number": "615-970-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S ELLINGTON PKWY",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370914324",
            "telephone_number": "931-308-4292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTRY OF LEWISBURG",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST NASHVILLE AESTHETIC DENTISTRY PLLC",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "SKYLOR",
        "authorized_official_title_or_position": "CEO/DOCTOR",
        "authorized_official_telephone_number": "615-970-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry of Lewisburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.