1. Home
  2. Directory
  3. Tennessee
  4. Hermitage
  5. Dentist
  6. NPI Profile

HERMITAGE MODERN DENTISTRY, PC
NPI 1063086080
Dentist - General Practice in Hermitage, TN

Active since May 14, 2021
4730 LEBANON PIKE STE 101, HERMITAGE, TN 37076(615) 219-5722(615) 203-0752 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hermitage Modern Dentistry, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERMITAGE MODERN DENTISTRY, PC (NPI 1063086080), doing business as Hermitage Modern Dentistry, is a healthcare organization registered as a general practice in Hermitage, Tennessee and active in the NPI registry since May 2021. The organization lists Alexandra Fili, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1063086080
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHERMITAGE MODERN DENTISTRY, PC
Location Address4730 LEBANON PIKE STE 101Hermitage, TN 37076-1313
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890
Phone(615) 219-5722
Fax(615) 203-0752
Organization SubpartNo
Authorized OfficialAlexandra FiliOwner Dentist · (714) 845-8890
Enumeration DateMay 14, 2021
NPPES CertifiedMay 14, 2021
✔ NPI 1063086080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4730 LEBANON PIKE STE 101, Hermitage, TN 37076
Open in Google Maps ↗

Other Names 1

Doing Business AsHermitage Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RONY JFOUF IBRAHIM DDS
Dentist
4730 LEBANON PIKE STE 101
HERMITAGE, TN 37076
Davidson County (615) 219-5722
ALIYAH SHEREE FUTCH
Dentist
4730 LEBANON PIKE STE 101
HERMITAGE, TN 37076
Davidson County (615) 219-5722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hermitage Modern Dentistry, PC's NPI number?

The NPI number for Hermitage Modern Dentistry, PC is 1063086080. It was assigned to this organization in the NPPES registry on May 14, 2021. The provider is doing business as Hermitage Modern Dentistry.

Where is Hermitage Modern Dentistry, PC located?

Hermitage Modern Dentistry, PC is located at 4730 Lebanon Pike Ste 101, Hermitage, TN 37076. The listed phone number is (615) 219-5722.

What is Hermitage Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Hermitage Modern Dentistry, PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Hermitage Modern Dentistry, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hermitage Modern Dentistry, PC was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.