Priscilla Ramos Costa, DDS

Individual provider Active NPI General Practice Dentistry · Hohenwald, TN

NPI 1922526680 · NPPES record last updated May 3, 2024

Key facts

NPI
1922526680
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
12399 (TN)
Practice address
20 E Main St
Hohenwald, TN 38462-1420
Phone
(931) 796-7577
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12399TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Family Dentistry General Practice Past
since May 7, 2024
Accepting new patients
Rael Bernstein DDS Apc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12399 TN Yes

Addresses

Primary practice location

20 E Main St
Hohenwald, TN 38462-1420

Mailing address

1802 Trace Creek Rd
Hohenwald, TN 38462-5143
Phone (909) 747-2972

Other providers in Hohenwald, TN

All providers in Hohenwald, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.