Premier Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3682 Issued in TN

Legal business name

PREMIER DENTAL CENTER

Practice address

1203 E College St
Brownsville, TN 38012-1656

Phone

(731) 772-4567

Fax

(731) 772-6679

NPI assigned

Jun 13, 2012

Last updated

Jun 13, 2012By 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

Mrs. Melissa S. Kirk

Title

Secretary

Phone

(731) 772-4567

Specialties & licenses 4

Addresses

Tax ID family

Premier Dental Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Kail, Grobmyer & Leonard Denistry

  dba Premier Dental Center

  • Dentist
  • Milan, TN
  • NPI 1275082745
  NPD tax ID
• Kail, Grobmyer and Leonard Dentistry

  dba Premeir Dental Center

  • General Practice Dentistry
  • Bells, TN
  • NPI 1205008497
  NPD tax ID
• Premier Dental Center

  • General Practice Dentistry
  • Jackson, TN
  • NPI 1902160450
  NPD tax ID

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1619239837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 E COLLEGE ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121656",
            "telephone_number": "731-772-4567",
            "fax_number": "731-772-6679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E COLLEGE ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380121656",
            "telephone_number": "731-772-4567",
            "fax_number": "731-772-6679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "731-772-4567",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3413",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS7790",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8401",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Outlaw, RN
• Torry O Patrick, PT
• Gary Dean Pettigrew, DPH
• Jack G Pettigrew, DO
• Precious Stones Homes LLC
• Kaylee Prescott, RN
• L Allen Primrose, PHARMD
• Professional Home Health Care, LLC (CareAll Home Care Services, Inc.)
• Nancy Jane Pruitt, DNP
• Pruitthealth Hospice - Tennessee, Inc. (PruittHealth Hospice and Palliative Care - Western Tennessee)

• General Practice Dentistry in Brownsville, TN
• Providers in Brownsville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.