Hartsville Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

7791 Issued in TN

Legal business name

HARTSVILLE DENTAL CARE

Practice address

110 McMurry Blvd
Hartsville, TN 37074-1112

Phone

(615) 374-9181

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By 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

Andrew MarshallNPI 1407846975

Title

Owner

Phone

(615) 374-9181

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Hartsville Dental Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Westmoreland Dental Care

  • Dental Clinic/Center
  • Westmoreland, TN
  • NPI 1346672862
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Herod Marshall, D.D.S.

  • General Practice Dentistry
  • Hartsville, TN
  • NPI 1407846975
  NPD (past) Authorized official

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1679915177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MCMURRY BLVD",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MCMURRY BLVD",
            "city": "HARTSVILLE",
            "state": "TN",
            "postal_code": "370741112",
            "telephone_number": "615-374-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSVILLE DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-374-9181"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "7791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440279",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Jean Faulkner, DPH
• Shannon Michelle Foreman, FNP
• John M Green, D.C,
• Camra Hamilton
• Ariele Harris
• Hartsville Pharmacy LLC.
• Hartsville Pharmacy LLC.
• Hartsville Rehab and Healthcare LLC (Hartsville Rehab and Healthcare)
• Hartsville/Trousdale County Metro Government
• Emma Kemp Hendry, PHARM.D.

• Dental Clinic/Center in Hartsville, TN
• Providers in Hartsville, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.