Hermitage Family & Cosmetic Dentistry, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5016 Issued in TN

Legal business name

HERMITAGE FAMILY & COSMETIC DENTISTRY, P.C.

Practice address

260 Jackson Meadows Dr
Hermitage, TN 37076-1425

Phone

(615) 872-7762

NPI assigned

Aug 31, 2006

Last updated

Jun 16, 2008By 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

Tim Artist

Title

Treasurer

Phone

(615) 872-7762

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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.

• Jane A Bacon, D.M.D

  • General Practice Dentistry
  • Hermitage, TN
  • NPI 1073624482
  NPD (past)
• Aileen Marty Kruger, D.D.S

  • General Practice Dentistry
  • Hermitage, TN
  • NPI 1952494031
  NPD (past)
• Laura Thompson, DMD

  • Dentist
  • Hermitage, TN
  • NPI 1992388185
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1730290255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 JACKSON MEADOWS DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761425",
            "telephone_number": "615-872-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 JACKSON MEADOWS DR",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761425",
            "telephone_number": "615-872-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE FAMILY & COSMETIC DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ARTIST",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "615-872-7762"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5016",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hermitage Chiropractic, LLC (HealthSource of Hermitage)
• Hermitage Cosmetic and Implant Dentistry Mark H Whitefield DDS Gen PTR
• Hermitage Dental Clinic
• Hermitage Dentistry GPS PLLC
• Hermitage Eye Care PLLC
• Hermitage Family Practice LLC
• Hermitage Inpatient Services PLLC
• Hermitage Internal Medecine PC
• Hermitage Modern Dentistry, PC (Hermitage Modern Dentistry)
• Hermitage Nursing & Rehabilitation Center LLC

• General Practice Dentistry in Hermitage, TN
• Providers in Hermitage, 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 Jun 16, 2008; 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.