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

CENTERVILLE DENTAL
NPI 1174881965
Dentist - General Practice in Centerville, TN

Active since April 30, 2012
704 HIGHWAY 100, STE 101, CENTERVILLE, TN 37033(931) 729-2664(931) 729-2666 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Centerville Dental NPPES

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

CENTERVILLE DENTAL (NPI 1174881965) is a healthcare organization registered as a general practice in Centerville, Tennessee and active in the NPI registry since April 2012. The organization lists Jamie M Lee, Owner, as its authorized official.

NPPES Registry Identity

NPI1174881965
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCENTERVILLE DENTAL
Location Address704 HIGHWAY 100, STE 101Centerville, TN 37033-1171
Mailing Address704 Highway 100, Ste 101Centerville, TN 37033-1171 · (931) 729-2664 · Fax (931) 729-2666
Phone(931) 729-2664
Fax(931) 729-2666
Organization SubpartNo
Authorized OfficialJamie M LeeOwner · (931) 729-2664
Enumeration DateApril 30, 2012
✔ NPI 1174881965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · 8074
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.

704 HIGHWAY 100, Centerville, TN 37033
Open in Google Maps ↗

Other Identifiers 1

Medicaid5441233TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 8

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

MRS. GINA MICHELLE ELKINS BSW
Counselor (Mental Health)
704 HIGHWAY 100, SUITE 101
CENTERVILLE, TN 37033
Hickman County (931) 729-3573
MR. DAVID D HIGHFIELD SR. M.DIV
Counselor (Professional)
704 HIGHWAY 100, SUITE 101
CENTERVILLE, TN 37033
Hickman County (931) 729-3573
DR. LOUISE CLARK MERRITT M.D.
Psychiatry & Neurology (Psychiatry)
704 HIGHWAY 100, SUITE 101
CENTERVILLE, TN 37033
Hickman County (931) 729-3573
MRS. AMANDA LYNN KING B.S.
Counselor (Mental Health)
704 HIGHWAY 100
CENTERVILLE, TN 37033
Hickman County (931) 729-3573
MONICA LEAH CRUMBY
Counselor (Mental Health)
704 HIGHWAY 100, SUITE 101
CENTERVILLE, TN 37033
Hickman County (931) 729-3573
JEANNIE MARIE KELLY LPC/MHSP
Counselor (Mental Health)
704 HIGHWAY 100, SUITE 101
CENTERVILLE, TN 37033
Hickman County (931) 729-3573
CENTERSTONE
Community/Behavioral Health
704 HIGHWAY 100, SUITE101
CENTERVILLE, TN 37033
Hickman County (931) 729-3573
CENTERSTONE
Voluntary or Charitable
704 HIGHWAY 100, SUITE 101
CENTERVILLE, TN 37033
Hickman County (931) 729-3573

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 Centerville Dental's NPI number?

The NPI number for Centerville Dental is 1174881965. It was assigned to this organization in the NPPES registry on April 30, 2012.

Where is Centerville Dental located?

Centerville Dental is located at 704 Highway 100 Ste 101, Centerville, TN 37033. The listed phone number is (931) 729-2664.

What is Centerville Dental's specialty?

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

What insurance does Centerville Dental accept?

Health plans from UnitedHealthcare list Centerville Dental 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 Centerville Dental was last updated on April 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.