Active NPI
Brett Dillard, DDS
- General Practice Dentistry
- Columbia, TN
National Provider Identifier
1871164707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11607
- Practice address
- 1818 Shady Brook St
Columbia, TN 38401-3944 - Phone
- (931) 388-4670
- NPI assigned
- Jul 1, 2021
- Last updated
- Jul 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11607 | TN | Primary |
Addresses
Primary practice location
1818 Shady Brook St
Columbia, TN 38401-3944
Mailing address
1818 Shady Brook St
Columbia, TN 38401-3944
Phone (931) 388-4670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11607 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry With Love LLC | Current | Accepting new patients |
Locations
1818 Shady Brook St
Columbia, TN 38401
Phone (931) 388-4670
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1871164707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 SHADY BROOK ST",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013944",
"telephone_number": "931-388-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 SHADY BROOK ST",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013944",
"telephone_number": "931-388-4670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "BRETT",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "11607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.