PEDIATRIC DENTAL CENTERS, PC
NPI 1063665040
Dentist - Pediatric Dentistry in Tullahoma, TN
NPI Status: Active since November 04, 2008
Contact Information
601 NW ATLANTIC ST
SUITE A
TULLAHOMA, TN
ZIP 37388
Phone: (931) 455-8003
- Organization
- Dentist
- Pediatric Dentistry
- Accepts Insurance
- CLIA Number: 44D0309791
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-13-2026
About PEDIATRIC DENTAL CENTERS, PC
This page provides the complete NPI Profile along with additional information for Pediatric Dental Centers, Pc, a provider established in Tullahoma, Tennessee operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1063665040 assigned on November 2008. The practitioner's primary taxonomy code is 1223P0221X with license number DS0000005201 (TN). The provider is registered as an organization and their NPI record was last updated 18 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 former legal business name is In Care Of Steve R. Lynn, Dds. The authorized official of this NPI record is Dr. Steve R. Lynn Dds (President)
- NPI
- 1063665040
- Provider Legal Name
- PEDIATRIC DENTAL CENTERS, PC
- Other Organization Name
- IN CARE OF STEVE R. LYNN, DDS
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 601 NW ATLANTIC ST SUITE A TULLAHOMA, TN 37388
- Location Phone
- (931) 455-8003
- Mailing Address
- 601 NW ATLANTIC ST SUITE A TULLAHOMA, TN 37388
- Mailing Phone
- (931) 455-8003
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-04-2008
- Last Update Date
- 11-04-2008
- Code Navigator
A dentist like Pediatric Dental Centers, Pc 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 Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- DS0000005201
- License State
- TN
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Group Taxonomy 193400000X 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:
- DentaQuest EPO Pediatric High - EPO
- DentaQuest EPO Family High - EPO
- DentaQuest EPO Family Low - EPO
- Lone Star - Smile Now - PPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 44D0309791
- Facility Type
- Physician Office
- Certificate Effective Date
- June 14, 2024
- Certificate Expiration Date
- June 13, 2026
- Laboratory Director
- DR. RICHARD M. VAUGHN
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Dental Centers, Pc 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 1063665040, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
TULLAHOMA, TN 37388
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063665040, enumerated as an "organization" on November 04, 2008.
The provider is located at 601 NW ATLANTIC ST SUITE A TULLAHOMA, TN 37388 and the phone number is (931) 455-8003.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: DentaQuest Insurance Company Inc- TN and. Please consult your insurance carrier or call the provider to verify.
