NPIMap

Organization Active NPI

Pittsboro Family Dentistry Campbell LLC

  • Dental Clinic/Center
  • Pittsboro, IN
National Provider Identifier
1649070699
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PITTSBORO FAMILY DENTISTRY CAMPBELL LLC
Practice address
204 N Maple St
Pittsboro, IN 46167-9164
Phone
(706) 346-7944
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Tennille Spence
Title
Regional Operations Supervisor
Phone
(317) 370-1158

Specialties & licenses 1

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

Addresses

Primary practice location

204 N Maple St
Pittsboro, IN 46167-9164

Mailing address

954 Berkhamsted LN
Carmel, IN 46032-3683
Phone (706) 346-7944

Other names 1

  • Pittsboro Family Dentistry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1649070699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 BERKHAMSTED LN",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460323683",
            "telephone_number": "706-346-7944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N MAPLE ST",
            "city": "PITTSBORO",
            "state": "IN",
            "postal_code": "461679164",
            "telephone_number": "706-346-7944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSBORO FAMILY DENTISTRY CAMPBELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "TENNILLE",
        "authorized_official_title_or_position": "REGIONAL OPERATIONS SUPERVISOR",
        "authorized_official_telephone_number": "317-370-1158"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pittsboro Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsboro, IN

Sources for this page

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