Hendersonville Dental Spa for Kids PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8737 Issued in TN

Legal business name

HENDERSONVILLE DENTAL SPA FOR KIDS PLLC

Practice address

264 New Shackle Island Rd Ste 105B
Hendersonville, TN 37075-2482

Phone

(615) 991-5903

Fax

(615) 991-5199

NPI assigned

Dec 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lance H Harrison Jr., DDS

Title

General Dentist

Phone

(615) 991-5903

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1649635947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD STE 105B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752482",
            "telephone_number": "615-991-5903",
            "fax_number": "615-991-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NEW SHACKLE ISLAND RD STE 105B",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752482",
            "telephone_number": "615-991-5903",
            "fax_number": "615-991-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSONVILLE DENTAL SPA FOR KIDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "615-991-5903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Hemmings
• Brett Houston Henderson, D.M.D., M.S.D.
• Leah Christine Henderson, LPC-MHSP
• Tyasia Capri Henderson
• Hendersonville Chiropractic
• Hendersonville Dental Spa PLLC.
• Hendersonville Eye Care
• Hendersonville Eye Health & Vision, PLLC
• Hendersonville Family Dentistry, LLC
• Hendersonville Hospital Corporation

• General Practice Dentistry in Hendersonville, TN
• Providers in Hendersonville, 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 Dec 31, 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.

Verify at the official NPI Registry.