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

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Cordova Family Dentistry (23 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
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 Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2008.

{
    "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

All providers in Bartlett, TN · Dentist in Tennessee

Sources for this page

Verify at the official NPI Registry.