Paul B Payne Special Care Dental of Tennessee PL

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PAUL B PAYNE SPECIAL CARE DENTAL OF TENNESSEE PL

Doing business as

Special Care Dental of Tennessee LLC

Practice address

409 Park Ave
Adamsville, TN 38310-2461

Phone

(502) 244-2441

Fax

(502) 254-4069

NPI assigned

Dec 16, 2018

Last updated

Dec 16, 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

Paul Payne, DDS

Title

Owner

Phone

(502) 244-2441

Specialties & licenses 1

Addresses

Other names 1

• Special Care Dental of Tennessee LLC Doing business as

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1881165074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12910 SHELBYVILLE RD STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402432404",
            "telephone_number": "502-244-2441",
            "fax_number": "502-254-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 PARK AVE",
            "city": "ADAMSVILLE",
            "state": "TN",
            "postal_code": "383102461",
            "telephone_number": "502-244-2441",
            "fax_number": "502-254-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL B PAYNE SPECIAL CARE DENTAL OF TENNESSEE PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-244-2441",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Special Care Dental of Tennessee LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Kimmons
• Stephanie Lauren Long
• Meditrust Medical Equipment & Supply,LLC
• Angela M Nixon, APN
• Samantha Dawn Oaks, COTA/L
• Catherine J Prather, PHARM. D.
• Dubbaka Devender Reddy, MD
• Macy Jaye Redmon
• Heath Anthony Robertson, D.M.D
• Amie Roland, APN

• Dentist in Adamsville, TN
• Providers in Adamsville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.