S&K Dental Affliates, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS8116 Issued in TN

Legal business name

S&K DENTAL AFFLIATES, LLC

Practice address

4761 Andrew Jackson Pkwy
Hermitage, TN 37076-1354

Phone

(615) 885-3525

Fax

(615) 885-9767

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Michelle Stainback

Title

Practice Manager

Phone

(615) 885-3525

Specialties & licenses 1

Addresses

Tax ID family

S K Dental Affiliates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• S & K Dental Affiliates, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hermitage, TN
  • NPI 1194881672
  NPD tax ID

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437217999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 ANDREW JACKSON PKWY",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761354",
            "telephone_number": "615-885-3525",
            "fax_number": "615-885-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 ANDREW JACKSON PKWY",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761354",
            "telephone_number": "615-885-3525",
            "fax_number": "615-885-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&K DENTAL AFFLIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAINBACK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "615-885-3525"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Care LLC
• Royal Medical Transportation LLC
• Michael R Rudowski
• Kesha Russaw Rushing, FNP
• S & K Dental Affiliates, PC
• Safe Course LLC
• Amber Danielle Saia
• Arwa Saifuddin
• Eric Sanchez Maria, MD
• Diana Cecilia Sanchez-Vega

• General Practice Dentistry in Hermitage, TN
• Providers in Hermitage, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.