Bivens Dentistry, PLLC
Organization Active NPI Dentist · Mount Juliet, TN
NPI 1508751827 · NPPES record last updated Jun 9, 2025
Key facts
- NPI
- 1508751827
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- BIVENS DENTISTRY, PLLC
- Practice address
- 660 S Mount Juliet Rd Ste 200
Mount Juliet, TN 37122-3970 - Phone
- (615) 773-8882
- NPI assigned
- Jun 9, 2025
- Organization subpart
- No
Authorized official
- Name
- Peter Bilan
- Title
- Cfo
- Phone
- (941) 232-8433
Practitioners 1
-
Shaun Michael Bivens, D.M.D.
National Provider Directory
Locations
660 S Mount Juliet Rd
Ste 200
Mt Juliet, TN 37122
Phone (615) 773-8882
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
660 S Mount Juliet Rd Ste 200
Mount Juliet, TN 37122-3970
Mailing address
660 S Mount Juliet Rd Ste 200
Mount Juliet, TN 37122-3970
Phone (615) 773-8882
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2025. 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.