Organization Active NPI

Dobberstein Dentistry, P.L.L.C.

  • Dental Clinic/Center
  • Columbia, TN
National Provider Identifier
1992367528
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DOBBERSTEIN DENTISTRY, P.L.L.C.
Practice address
706 Lion Pkwy
Columbia, TN 38401-4721
Phone
(931) 388-3384
NPI assigned
Jul 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Dr. Lovie Dava Dobberstein, D.D.S.NPI 1396159984
Title
President/ Dentist
Phone
(931) 388-3384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

706 Lion Pkwy
Columbia, TN 38401-4721

Mailing address

706 Lion Pkwy
Columbia, TN 38401-4721
Phone (931) 388-3384

Other names 1

  • Creekside Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

706 Lion Pkwy
Columbia, TN 38401
Phone (931) 388-3384

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1992367528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 LION PKWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014721",
            "telephone_number": "931-388-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 LION PKWY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014721",
            "telephone_number": "931-388-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOBBERSTEIN DENTISTRY, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "DOBBERSTEIN",
        "authorized_official_first_name": "LOVIE",
        "authorized_official_middle_name": "DAVA",
        "authorized_official_title_or_position": "PRESIDENT/ DENTIST",
        "authorized_official_telephone_number": "931-388-3384",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creekside Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.