TENNESSEE ORAL & MAXILLOFACIAL SURGEONS
NPI 1033344288
Dentist - Oral and Maxillofacial Surgery in Dickson, TN
NPI Status: Active since May 18, 2009
Contact Information
502 E COLLEGE ST
DICKSON, TN
ZIP 37055
Phone: (615) 446-9669
Fax: (615) 446-9661
- Organization
- Dentist
- Oral and Maxillofacial Surgery
- CLIA Number: 44D1033664
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-11-2027
About TENNESSEE ORAL & MAXILLOFACIAL SURGEONS
This page provides the complete NPI Profile along with additional information for Tennessee Oral & Maxillofacial Surgeons, a provider established in Dickson, Tennessee operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1033344288 assigned on May 2009. The practitioner's primary taxonomy code is 1223S0112X with license number DS4607 (TN). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's other name is Tennessee Oral & Maxillofacial Surgeons. The authorized official of this NPI record is Mrs. Mina H Harris (Office Manager)
- NPI
- 1033344288
- Provider Legal Name
- PROVENCE AND HALEY, PC
- Other Organization Name
- TENNESSEE ORAL & MAXILLOFACIAL SURGEONS
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 502 E COLLEGE ST DICKSON, TN 37055
- Location Phone
- (615) 446-9669
- Location Fax
- (615) 446-9661
- Mailing Address
- 4322 HARDING PIKE SUITE 201 NASHVILLE, TN 37205
- Mailing Phone
- (615) 829-7000
- Mailing Fax
- (615) 446-9661
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2009
- Last Update Date
- 05-18-2009
- Code Navigator
A dentist like Tennessee Oral & Maxillofacial Surgeons is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- DS4607
- License State
- TN
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223S0112X | Dental Providers | Dentist | DS7219 (TN) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2006315 | OTHER (01) | TN | BCBST |
| 667954 | OTHER (01) | UNITED CONCORDIA | |
| U29514 | MEDICARE UPIN (02) | TN | |
| 3226483 | MEDICARE PIN (08) | TN | |
| 7219 | OTHER (01) | TN | DENTAL LICENSE |
| 3141185 | OTHER (01) | TN | BCBST |
| 918666 | OTHER (01) | TN | UNITED CONCORDIA |
| 1275531972 | OTHER (01) | NPI | |
| 1982601829 | OTHER (01) | NPI | |
| 4607 | OTHER (01) | TN | DENTAL LICENSE |
| U74960 | MEDICARE UPIN (02) | TN | |
| 3226504 | MEDICARE PIN (08) | TN |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D1033664
- Facility Type
- Physician Office
- Certificate Effective Date
- April 12, 2025
- Certificate Expiration Date
- April 11, 2027
- Laboratory Director
- DR. NATALIE R. DICKSON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Tennessee Oral & Maxillofacial Surgeons after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1033344288, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033344288, enumerated as an "organization" on May 18, 2009.
The provider is located at 502 E COLLEGE ST DICKSON, TN 37055 and the phone number is (615) 446-9669.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
