Provider Demographics
NPI:1285884932
Name:ROLIN HILLS DENTAL CARE INC., P.C.
Entity type:Organization
Organization Name:ROLIN HILLS DENTAL CARE INC., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:ROLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-227-0955
Mailing Address - Street 1:101 EAST CT
Mailing Address - Street 2:
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-1817
Mailing Address - Country:US
Mailing Address - Phone:615-859-5574
Mailing Address - Fax:
Practice Address - Street 1:4805 GALLATIN PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37216-1301
Practice Address - Country:US
Practice Address - Phone:615-227-0955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS7178122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty