Active NPI
Ut Specialty Dental Services, PLLC
- Pediatric Dentistry
- Nashville, TN
National Provider Identifier
1467045179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- UT SPECIALTY DENTAL SERVICES, PLLC
- Practice address
- 1610 54TH Ave N Ste 205
Nashville, TN 37209-1442 - Phone
- (615) 678-0759
- NPI assigned
- Feb 12, 2021
- Reactivated
- Aug 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlotte Dasch
- Title
- Director of Operations
- Phone
- (504) 638-0303
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | |||
| Pediatric Dentistry | 1223P0221X | Primary | ||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Mailing address
401 Church St Ste 1400
Nashville, TN 37219-2214
Phone (615) 678-0759
Other names 1
- Specialty Dental Brands
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | charlotte.dasch@sdbmail.com | ||
| CONNECT URL | charlotte.dasch@sdbmail.com |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787875200000",
"number": "1467045179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CHURCH ST STE 1400",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372192214",
"telephone_number": "615-678-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 54TH AVE N STE 205",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372091442",
"telephone_number": "615-678-0759"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UT SPECIALTY DENTAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-12",
"last_updated": "2026-08-28",
"certification_date": "2022-04-05",
"deactivation_date": "2025-09-09",
"reactivation_date": "2026-08-28",
"status": "A",
"authorized_official_last_name": "DASCH",
"authorized_official_first_name": "CHARLOTTE",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "504-638-0303"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "charlotte.dasch@sdbmail.com",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "497 N Main St # 3002",
"city": "Spanish Fork",
"state": "UT",
"country_code": "US",
"postal_code": "846603002",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "charlotte.dasch@sdbmail.com",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "497 N Main St # 3002",
"city": "Spanish Fork",
"state": "UT",
"country_code": "US",
"postal_code": "846603002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Specialty Dental Brands",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Specialty Dental Brands",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.