Kdnashvilledc

General Practice Dentistry · Hermitage, TN

Organization Active NPI

NPI number 1629767793

Practice location

3901 Central Pike Ste 500
Hermitage, TN 37076-3419
Phone
(615) 933-7300

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NPI record

NPI
1629767793
Entity type
Organization (Type 2)
Enumeration date
May 4, 2023
Last updated
April 30, 2025
Certified
April 30, 2025
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X — —

Mailing address

9200 Shelbyville Rd Ste 531
Louisville, KY 40222-5132

Authorized official

Name
Tanyika Wan
Title
VP Administrative Services
Phone
(812) 701-0213

About Kdnashvilledc

Kdnashvilledc is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3901 Central Pike Ste 500, Hermitage, TN 37076-3419. The NPI number 1629767793 was assigned on May 4, 2023 and the record was last updated on April 30, 2025.

The authorized official for this organization is Tanyika Wan, VP Administrative Services.

Frequently asked questions

What is the NPI number of Kdnashvilledc?

The NPI number is 1629767793.

What is the phone number of Kdnashvilledc?

The phone number listed for the practice location is (615) 933-7300.

Where is Kdnashvilledc located?

3901 Central Pike Ste 500, Hermitage, TN 37076-3419.

What is the taxonomy code for Kdnashvilledc?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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