Bartlett Family Dentistry
Organization Active NPI Dentist · Bartlett, TN
NPI 1487795068 · NPPES record last updated Jul 9, 2008
Key facts
- NPI
- 1487795068
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- BARTLETT FAMILY DENTISTRY
- Practice address
- 7519 US Highway 64
Bartlett, TN 38133-8929 - Phone
- (901) 371-0609
- Fax
- (901) 371-0284
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Geroge Guilford Taylor III, MHA
- Title
- Practice MGR.
- Phone
- (901) 371-0609
Corporate family (same tax ID) 22
Practitioners 1
-
Shuya Bi, DDS
National Provider Directory
- Tax ID family
- Cordova Family Dentistry
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
7519 US Highway 64
Bartlett, TN 38133-8929
Mailing address
7519 US Highway 64
Bartlett, TN 38133-8929
Phone (901) 371-0609
Other names
- American Family Dentistry - Bartlett
NPI Registry JSON
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215561600000",
"number": "1487795068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7519 US HIGHWAY 64",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381338929",
"telephone_number": "901-371-0609",
"fax_number": "901-371-0284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7519 US HIGHWAY 64",
"city": "BARTLETT",
"state": "TN",
"postal_code": "381338929",
"telephone_number": "901-371-0609",
"fax_number": "901-371-0284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARTLETT FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2008-07-09",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "GEROGE",
"authorized_official_middle_name": "GUILFORD",
"authorized_official_title_or_position": "PRACTICE MGR.",
"authorized_official_telephone_number": "901-371-0609",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MHA"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "American Family Dentistry - Bartlett",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bartlett, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2008. 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.