Devin Kye Krekel, D.M.D
Individual provider Active NPI General Practice Dentistry · Fairview, TN
NPI 1457790396 · NPPES record last updated Jul 22, 2020
Key facts
- NPI
- 1457790396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 9996 (TN)
- Practice address
- 7022 City Center Way
Fairview, TN 37062-6004 - Phone
- (615) 266-2645
- NPI assigned
- Jun 24, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9996 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provision Family Dental, PLLC D/B/a Fairview Family Dentistry | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9996 | TN | Yes |
Addresses
Primary practice location
7022 City Center Way
Fairview, TN 37062-6004
Mailing address
7022 City Center Way
Fairview, TN 37062-6004
Phone (615) 266-2645
Other providers in Fairview, TN
- Alan Killingsworth
- King Family Dental PLLC
- Caleb Timothy King
- KJK LLC
- Nicholas Kramer
- Allison Leich Hilbun
- Paul Frank Luther Jr.
- Lesley Marie Mathis
- Jennifer McMahan
- Mercy Health Service - Fairview High School
All providers in Fairview, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.