Erica J Adderly, D.D.S
Individual provider Active NPI Dentist · Goodlettsville, TN
NPI 1992135131 · NPPES record last updated Feb 21, 2024
Key facts
- NPI
- 1992135131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 10343 (TN)
- Practice address
- 324 Long Hollow Pike Ste 206
Goodlettsville, TN 37072-1853 - Phone
- (615) 942-2185
- NPI assigned
- Nov 26, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10343 | TN | MD | Clinical Social Worker |
| DN20450 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville Dental Center | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN20450 | FL | |
| Dentist | 122300000X | 10343 | TN | Yes |
Addresses
Primary practice location
324 Long Hollow Pike Ste 206
Goodlettsville, TN 37072-1853
Mailing address
324 Long Hollow Pike Ste 206
Goodlettsville, TN 37072-1853
Phone (615) 942-2185
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016363100 | Medicaid | FL |
Other names
- Erica J McFarland
Other providers in Goodlettsville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.