Active NPI
Highlands Dental PLLC
- General Practice Dentistry
- Cookeville, TN
National Provider Identifier
1548645880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10021
- Legal business name
- HIGHLANDS DENTAL PLLC
- Practice address
- 22 N Jefferson Ave
Cookeville, TN 38501-3334 - Phone
- (931) 526-3381
- Fax
- (931) 520-4804
- NPI assigned
- Jul 28, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brett M Germain, D.D.S.
- Title
- Member
- Phone
- (931) 526-3381
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10021 | TN | |
| General Practice Dentistry | 1223G0001X | 10021 | TN | Primary |
Addresses
Primary practice location
22 N Jefferson Ave
Cookeville, TN 38501-3334
Mailing address
22 N Jefferson Ave
Cookeville, TN 38501-3334
Phone (931) 526-3381
Other names 1
- Highlands Dental
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1438041600000",
"number": "1548645880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 N JEFFERSON AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385013334",
"telephone_number": "931-526-3381",
"fax_number": "931-520-4804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 N JEFFERSON AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385013334",
"telephone_number": "931-526-3381",
"fax_number": "931-520-4804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-28",
"last_updated": "2015-07-28",
"status": "A",
"authorized_official_last_name": "GERMAIN",
"authorized_official_first_name": "BRETT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "931-526-3381",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "TN",
"license": "10021",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "10021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Highlands Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.