Village Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

5040 Issued in TN

Legal business name

VILLAGE DENTAL GROUP

Practice address

112 Saundersville Rd
Suite B226
Hendersonville, TN 37075-8913

Phone

(615) 822-2626

Fax

(615) 822-3626

NPI assigned

Nov 6, 2009

Organization subpart

No

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

Authorized official

Name

Shawn Rae Foster

Title

Practice Administrator

Phone

(615) 498-4323

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1992032221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SAUNDERSVILLE RD",
            "address_2": "SUITE B226",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758913",
            "telephone_number": "615-822-2626",
            "fax_number": "615-822-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SAUNDERSVILLE RD",
            "address_2": "SUITE B226",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370758913",
            "telephone_number": "615-822-2626",
            "fax_number": "615-822-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "615-498-4323"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "5040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Vaughan
• Maria Venegas
• Sundararajan Venkatesh, M.D.
• Jade Powell Vergara, AGPCNP-C
• Laura Vetter
• Geena Villotti, BCBA, LBA
• Gunnar Vincent
• Karen Elaine Vinkler, PMHNP
• Maia Isabelle Virgino
• Vision Source of Hendersonville

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2009; 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.