Dr Max S Breazeal DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4147 Issued in TN

Legal business name

DR MAX S BREAZEAL DDS PLLC

Doing business as

Dr Max S Breazeal DDS PLLC

Practice address

2855 Summer Oaks Dr
Bartlett, TN 38134-3812

Phone

(901) 377-3988

Fax

(901) 377-9977

NPI assigned

Jul 27, 2018

Last updated

Jul 27, 2018By 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

Ms. Lisa Henley

Title

Office Manager

Phone

(901) 377-3988

Specialties & licenses 1

Addresses

Other names 1

• Dr Max S Breazeal DDS PLLC Doing business as

Practitioners 2

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.

• Timothy Joe Hacker Sr., DDS

  • General Practice Dentistry
  • Bartlett, TN
  • NPI 1841368065
  NPD (past)
• Neil Johnson, DDS

  • Dentist
  • Bartlett, TN
  • NPI 1568981108
  NPD (past)

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532649600000",
    "number": "1851878292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 SUMMER OAKS DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343812",
            "telephone_number": "901-377-3988",
            "fax_number": "901-377-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 SUMMER OAKS DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343812",
            "telephone_number": "901-377-3988",
            "fax_number": "901-377-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MAX S BREAZEAL DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2018-07-27",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-377-3988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Max S Breazeal DDS PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dove Dental Bartlett PLLC (Dove Family Dentistry)
• Debora Dean Dowda, FNP, APN
• Carrie Louise Dowling, MD
• Kelsey Elizabeth Dowling, DPT
• Nicole Downs, DPT
• Dr. D's Family Dentistry, LLC
• Dr. Peter Benvenuto
• Dr. Pravin Patel-Internal Medicine
• DRC Chiropractic LLC (Kirby Whitten Chiropractic)
• Driven by Diamonds

• General Practice Dentistry in Bartlett, TN
• Providers in Bartlett, 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 Jul 27, 2018; 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.