Gulch Dental Studio PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000007887 Issued in TN

Legal business name

GULCH DENTAL STUDIO PLLC

Practice address

224 11TH Avenue S
Nashville, TN 37203-4021

Phone

(615) 434-2134

NPI assigned

Apr 24, 2015

Last updated

Apr 24, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clint Newman, DDSNPI 1104045319

Title

Owner/Dentist

Phone

(615) 385-3507

Specialties & licenses 1

Addresses

Locations

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.

• Clint Edwin Newman, D.D.S.

  • Dentist
  • Nashville, TN
  • NPI 1104045319
  Authorized official Same address or phone

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1437546744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 11TH AVENUE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034021",
            "telephone_number": "615-434-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 11TH AVENUE S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034021",
            "telephone_number": "615-434-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULCH DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "CLINT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "615-385-3507",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000007887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacfranz Jacques Guiteau, M.D.
• Rajesh Gujjula, MD
• Irina Gukasova, RN
• Rishi Gulati, PT, DPT
• Krystal Gulbransen, PHARMD
• Jill Phillips Gullahorn, LMFT
• Jada Gulledge, BT
• Wendy Gullo, PHARMD
• Nirmala Gunasekaran, RD
• Twyla Pearl Gunderson, B.S.

• General Practice Dentistry in Nashville, TN
• Providers in Nashville, 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 Apr 24, 2015; 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.