Organization Active NPI

Goodlettsville Cosmetic Dentistry PLLC

  • General Practice Dentistry
  • Goodlettsville, TN
National Provider Identifier
1871462291
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GOODLETTSVILLE COSMETIC DENTISTRY PLLC
Practice address
450 Professional Park Dr Ste 101
Goodlettsville, TN 37072-2180
Phone
(629) 899-6543
Fax
(629) 899-6542
NPI assigned
Nov 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Elizabeth Clarke
Title
Office Manager
Phone
(629) 325-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

450 Professional Park Dr Ste 101
Goodlettsville, TN 37072-2180

Mailing address

450 Professional Park Dr Ste 101
Goodlettsville, TN 37072-2180
Phone (629) 899-6543

National Provider Directory

National Provider Directory

Locations

450 Professional Park Dr
Ste 101
Goodlettsville, TN 37072
Phone (629) 899-6543

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1871462291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 PROFESSIONAL PARK DR STE 101",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722180",
            "telephone_number": "629-899-6543",
            "fax_number": "629-899-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 PROFESSIONAL PARK DR STE 101",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722180",
            "telephone_number": "629-899-6543",
            "fax_number": "629-899-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLETTSVILLE COSMETIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "629-325-7710"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.