Brian Dalton, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

10175 Issued in TN

Practice address

201 Gum Branch Rd
Burns, TN 37029-5103

Phone

(615) 441-3678

NPI assigned

Nov 9, 2015

Last updated

Nov 9, 2015By the provider in NPPES

Sex

Male

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dalton Dental Studio, LLC

  dba Dalton Dental Studio

  • Dental Clinic/Center
  • Hendersonville, TN
  • NPI 1750098489
  NPD Authorized official
• Affordable Dentures & Implants - Dickson II, P.C.

  dba Affordable Dentures & Implants - Dickson

  • General Practice Dentistry
  • Burns, TN
  • NPI 1619793882
  NPD (past)

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1679946974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GUM BRANCH RD",
            "city": "BURNS",
            "state": "TN",
            "postal_code": "370295103",
            "telephone_number": "615-441-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GUM BRANCH RD",
            "city": "BURNS",
            "state": "TN",
            "postal_code": "370295103",
            "telephone_number": "615-441-3678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Will Campbell, MA, MBA, LADAC II
• James Robert Chatham II, LPC MHSP
• Chatterbox Speech Therapy PLLC
• Shirley Beth Clemence, CPM
• CRC Health Tennessee, LLC (Mirror Lake Recovery Center)
• Elite Caregiving Services LLC
• Melvin Leslie Elson, MD
• Marcie Hadley
• Rebecca Hill, PMHNP
• Whitney Jordan, LCSW

• Dentist in Burns, TN
• Providers in Burns, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.