Bivens Dentistry, PLLC

Primary specialty

DentistTaxonomy code 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

Last updated

Jun 9, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peter Bilan

Title

Cfo

Phone

(941) 232-8433

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaun Michael Bivens, D.M.D.

  • General Practice Dentistry
  • Mount Juliet, TN
  • NPI 1053480764
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1508751827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S MOUNT JULIET RD STE 200",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223970",
            "telephone_number": "615-773-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 S MOUNT JULIET RD STE 200",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223970",
            "telephone_number": "615-773-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIVENS DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "BILAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "941-232-8433"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Best Life Healthcare, PLLC
• Bez Transport LLC
• Auric Bhattacharya
• Camren Rose Bianco, MA
• Isabella Grace Binkley
• Shaun Michael Bivens, D.M.D.
• BJ's Wholesale Club Inc.
• Jenna Blackburn
• Kylie Danielle Blackett, NP
• Bloom Pediatric Therapy

• Dentist in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.