DENTAL SPA PLLC
NPI 1790189249
Dentist in Smyrna, TN

Active since October 13, 2014
125 ENON SPRINGS RD E, SMYRNA, TN 37167(615) 459-2579 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dental Spa Pllc NPPES

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

DENTAL SPA PLLC (NPI 1790189249) is a healthcare organization registered as a dentist in Smyrna, Tennessee and active in the NPI registry since October 2014. The organization lists Tracie Battle, Dentist, as its authorized official.

NPPES Registry Identity

NPI1790189249
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDENTAL SPA PLLC
Location Address125 ENON SPRINGS RD ESmyrna, TN 37167-3032
Mailing AddressPo Box 2623Brentwood, TN 37024-2623
Organization SubpartNo
Authorized OfficialTracie BattleDentist · (615) 459-2579
Enumeration DateOctober 13, 2014
NPI 1790189249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TN · 8012
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

125 ENON SPRINGS RD E, Smyrna, TN 37167

Other Identifiers 1

Medicaid12454814TN

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 MULTIPLE SINGLE SPECIALTY GROUP

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.

Dentist
125 ENON SPRINGS RD E
SMYRNA, TN 37167
Dentist (General Practice)
125 ENON SPRINGS RD E
SMYRNA, TN 37167

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 Dental Spa PLLC's NPI number?

The NPI number for Dental Spa PLLC is 1790189249. It was assigned to this organization in the NPPES registry on October 13, 2014.

Where is Dental Spa PLLC located?

Dental Spa PLLC is located at 125 Enon Springs Rd E, Smyrna, TN 37167. The listed phone number is (615) 459-2579.

What is Dental Spa PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Dental Spa PLLC was last updated on October 13, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.