Columbia Dental Group PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

9024 Issued in TN

Legal business name

COLUMBIA DENTAL GROUP PLLC

Practice address

6036 Hagars Grove Pass
Hermitage, TN 37076-5603

Phone

(615) 405-7565

NPI assigned

Sep 26, 2012

Last updated

Sep 26, 2012By 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

Dr. Sarah Lynn Clayton, DDSNPI 1336378827

Title

Sole Member, Dentist

Phone

(615) 405-7565

Specialties & licenses 1

Addresses

Practitioners 4

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.

• Sarah Clayton, DDS

  • General Practice Dentistry
  • Columbia, TN
  • NPI 1336378827
  NPD (past) Authorized official
• Daniel Frank Frederick

  • General Practice Dentistry
  • Columbia, TN
  • NPI 1003897190
  NPD (past)
• Kathryn Leigh Frederick

  • General Practice Dentistry
  • Columbia, TN
  • NPI 1134100886
  NPD (past)
• Alison Walters Morris

  • Specialist
  • Columbia, TN
  • NPI 1417645417
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348617600000",
    "number": "1447501721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 HATCHER LN",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014825",
            "telephone_number": "931-381-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6036 HAGARS GROVE PASS",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370765603",
            "telephone_number": "615-405-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE MEMBER, DENTIST",
        "authorized_official_telephone_number": "615-405-7565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "9024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beatriz Collada, M.D.
• Collins Family & Addiction Medicine, PLLC (Blissful Addiction Recovery)
• Angela Lyn Collins, PA-C
• Philip N Collis, M.D.
• Deborah Colton, LPE
• Columbus Medical Services, LLC (The Columbus Organization)
• Comprehensive Neurology Center PLLC
• Barrett D Conner, M.D.
• Laura Kristin Conrey, PA-C
• Continuous Care SVC LLC

• Dentist in Hermitage, TN
• Providers in Hermitage, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.