Twin Lakes Dental Care PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10219 Issued in TN

Legal business name

TWIN LAKES DENTAL CARE PLLC

Doing business as

Twin Lakes Dental Care

Practice address

11315 Lebanon Rd
Mount Juliet, TN 37122

Phone

(270) 839-6608

NPI assigned

May 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Robert Stephen Boh, DMDNPI 1033483359

Title

President

Phone

(270) 839-6608

Specialties & licenses 1

Addresses

Other names 1

• Twin Lakes Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Stephen Boh, DMD

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1033483359
  NPD (past) Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1952891798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 LONG BLVD APT 308",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032077",
            "telephone_number": "270-839-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11315 LEBANON RD",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "270-839-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN LAKES DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "BOH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-839-6608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "10219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Lakes Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Twin Lakes Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Turner, OT
• Anna Nicole Turner, LPC-MHSP
• Ryan Turner, PHARM D
• Frank D Tuzzio III, D.D.S., M.S.
• Kelly L Tuzzio, MOT, OTR/L
• Anna Underwood
• Jennifer Ungethum
• Taylor Unklesbay
• Vabbypharma LLC
• James Valentine, PHARMD

• Dental Clinic/Center in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.