Mary Beth Tabor, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS8294 Issued in TN

Practice address

131 Indian Lake Rd
Hendersonville, TN 37075-3866

Phone

(615) 824-1700

Fax

(615) 826-2266

NPI assigned

Oct 18, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1659360105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753866",
            "telephone_number": "615-824-1700",
            "fax_number": "615-826-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753866",
            "telephone_number": "615-824-1700",
            "fax_number": "615-826-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABOR",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamahria Sydnor
• Darren Szwartz
• T Koen Orthodontics PLLC
• Tabor Dental Associates
• Kelly Tabor, FNP-C
• Michael Jayson Tabor, D.D.S.
• Dan Tagailo, DPT
• Take Care Health Tennessee, P. C.
• Erin Talley, LMT,CMLDT
• Toug Mark Tanavin

• 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 Oct 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.