NPIMap

Organization Active NPI

TN Specialty Dental Services, PLLC

  • Pediatric Dentistry
  • Brentwood, TN
National Provider Identifier
1639720295
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TN SPECIALTY DENTAL SERVICES, PLLC
Practice address
95 Seaboard LN Ste 102
Brentwood, TN 37027-3037
Phone
(504) 638-0303
NPI assigned
Sep 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Charlotte Dasch
Title
Director of Operations
Phone
(504) 638-0303

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

95 Seaboard LN Ste 102
Brentwood, TN 37027-3037

Mailing address

1610 54TH Ave N Ste 205
Nashville, TN 37209-1442
Phone (504) 638-0303

Other practice location 1

10910 Kingston Pike Unit 105
Knoxville, TN 37934-2948
Phone (504) 638-0303

Other practice location 2

115 Penn Warren Dr
Brentwood, TN 37027-5047
Phone (615) 661-0303

Other practice location 3

410 N Parrish Pl Ste 1000
Hendersonville, TN 37075-1003
Phone (504) 638-0303

Other practice location 4

2944 Tazewell Pike Ste 1
Knoxville, TN 37918-1990
Phone (504) 638-0303

Other practice location 5

705 Gate Ln Ste 101
Knoxville, TN 37909-3519
Phone (504) 638-0303

Other practice location 6

7216 Nolensville Rd Ste 120
Nolensville, TN 37135-2111
Phone (504) 638-0303

Other names 4

  • Bentwood Pediatric Dentistry Doing business as
  • Just 4 Kids Teeth Doing business as
  • Knoxville Pediatric Dentistry Doing business as
  • Nolensville Pediatric Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL office

National Provider Directory

National Provider Directory
Tax ID family
TN Specialty Dental Services PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

115 Penn Warren Dr
Brentwood, TN 37027
Phone (615) 661-0303

624 W Due West Ave
Madison, TN 37115
Phone (615) 865-9400

7216 Nolensville Rd
Ste 120
Nolensville, TN 37135
Phone (615) 283-7397

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Sean Doyle
    • Orthodontics and Dentofacial Orthopedics Dentistry
    • Madison, TN
    • NPI 1477697233
    NPD (past)

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1639720295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "504-638-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SEABOARD LN STE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273037",
            "telephone_number": "504-638-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10910 Kingston Pike Unit 105",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379342948",
            "country_code": "US",
            "telephone_number": "504-638-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Penn Warren Dr",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275047",
            "country_code": "US",
            "telephone_number": "615-661-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Parrish Pl Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370751003",
            "country_code": "US",
            "telephone_number": "504-638-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2944 Tazewell Pike Ste 1",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379181990",
            "country_code": "US",
            "telephone_number": "504-638-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "705 Gate Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379093519",
            "country_code": "US",
            "telephone_number": "504-638-0303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7216 Nolensville Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Nolensville",
            "state": "TN",
            "postal_code": "371352111",
            "country_code": "US",
            "telephone_number": "504-638-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TN SPECIALTY DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2022-10-18",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "address_1": "115 Penn Warren Dr",
            "city": "Brentwood",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370275047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bentwood Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Just 4 Kids Teeth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Knoxville Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nolensville Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.