Organization Active NPI

Woodbury Family Dental PLLC

Doing business as Woodbury Dental Partners

  • Dentist
  • Woodbury, TN
National Provider Identifier
1821726373
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WOODBURY FAMILY DENTAL PLLC
Doing business as
Woodbury Dental Partners
Practice address
801 W Main St Ste B
Woodbury, TN 37190-1048
Phone
(615) 563-2266
NPI assigned
Aug 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Andrew Craig Chamberlain
Title
Accountant
Phone
(909) 991-8266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

801 W Main St Ste B
Woodbury, TN 37190-1048

Mailing address

801 W Main St Ste B
Woodbury, TN 37190-1048
Phone (615) 563-2266

Other names 1

  • Woodbury Dental Partners Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1821726373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST STE B",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901048",
            "telephone_number": "615-563-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST STE B",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901048",
            "telephone_number": "615-563-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "909-991-8266"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbury Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodbury Dental Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.