Active NPI
Steve Randall Lynn, DDS
- Pediatric Dentistry
- Tullahoma, TN
National Provider Identifier
1417063579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS0000005201
- Practice address
- 601 NW Atlantic St
Tullahoma, TN 37388 - Phone
- (931) 455-8003
- Fax
- (931) 455-1797
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000005201 | TN | |
| Pediatric Dentistry | 1223P0221X | DS0000005201 | TN | Primary |
Addresses
Primary practice location
601 NW Atlantic St
Tullahoma, TN 37388
Mailing address
107 Regwood Dr
Tullahoma, TN 37388
Phone (931) 455-8944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000005201 | TN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Dental Centers, PC | Pediatric Dentistry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Tullahoma, TN
- NPI 1063665040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417063579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 REGWOOD DR",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "37388",
"telephone_number": "931-455-8944",
"fax_number": "931-455-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 NW ATLANTIC ST",
"city": "TULLAHOMA",
"state": "TN",
"postal_code": "37388",
"telephone_number": "931-455-8003",
"fax_number": "931-455-1797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNN",
"first_name": "STEVE",
"middle_name": "RANDALL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000005201",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "DS0000005201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tullahoma, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.