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BOULEVARD DENTAL PLLC
NPI 1114865672
Dentist - General Practice in Fairview, TN

Active since March 24, 2026
2280 FAIRVIEW BLVD, FAIRVIEW, TN 37062(770) 328-9963 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Mar 24, 2026 (2 updates tracked since 2026).

About Boulevard Dental Pllc NPPES

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

BOULEVARD DENTAL PLLC (NPI 1114865672) is a healthcare organization registered as a general practice in Fairview, Tennessee and active in the NPI registry since March 2026. The organization lists Johnna Hayman, Owner, as its authorized official.

NPPES Registry Identity

NPI1114865672
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBOULEVARD DENTAL PLLC
Location Address2280 FAIRVIEW BLVDFairview, TN 37062-9048
Mailing Address2280 Fairview BlvdFairview, TN 37062-9048 · (615) 544-6450
Phone(770) 328-9963
Organization SubpartNo
Authorized OfficialJohnna HaymanOwner · (615) 544-6450
Enumeration DateMarch 24, 2026
Last NPPES UpdateApril 2, 20262 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1114865672 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.
2280 FAIRVIEW BLVD, Fairview, TN 37062
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. SHAHLA S AZHDARI DDS MS
Dentist (General Practice)
2280 FAIRVIEW BLVD
FAIRVIEW, TN 37062
Williamson County (615) 799-2090

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 Boulevard Dental PLLC's NPI number?

The NPI number for Boulevard Dental PLLC is 1114865672. It was assigned to this organization in the NPPES registry on March 24, 2026.

Where is Boulevard Dental PLLC located?

Boulevard Dental PLLC is located at 2280 Fairview Blvd, Fairview, TN 37062. The listed phone number is (770) 328-9963.

What is Boulevard Dental PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Boulevard Dental PLLC was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.