Organization Active NPI

Hunt Club Family Dental, PLLC

  • Dental Clinic/Center
  • Gallatin, TN
National Provider Identifier
1518613488
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HUNT CLUB FAMILY DENTAL, PLLC
Practice address
1509 Hunt Club Blvd Ste 800
Gallatin, TN 37066-6049
Phone
(615) 452-6765
NPI assigned
Mar 1, 2022
Last updated
Mar 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Dr. Lacy Jones, DDSNPI 1992291074
Title
Dentist/Member
Phone
(615) 870-9524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1509 Hunt Club Blvd Ste 800
Gallatin, TN 37066-6049

Mailing address

1509 Hunt Club Blvd Ste 800
Gallatin, TN 37066-6049
Phone (615) 452-6765

National Provider Directory

National Provider Directory

Locations

1509 Hunt Club Blvd
Ste 800
Gallatin, TN 37066
Phone (615) 452-6765

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1518613488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 HUNT CLUB BLVD STE 800",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666049",
            "telephone_number": "615-452-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 HUNT CLUB BLVD STE 800",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370666049",
            "telephone_number": "615-452-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNT CLUB FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LACY",
        "authorized_official_title_or_position": "DENTIST/MEMBER",
        "authorized_official_telephone_number": "615-870-9524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.