Provider Demographics
NPI:1306589213
Name:NASHVILLE FAMILY DENTISTRY
Entity type:Organization
Organization Name:NASHVILLE FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:PIPESH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:517-852-9150
Mailing Address - Street 1:730 DURKEE ST
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49073-9570
Mailing Address - Country:US
Mailing Address - Phone:517-852-9150
Mailing Address - Fax:
Practice Address - Street 1:730 DURKEE ST
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:MI
Practice Address - Zip Code:49073-9570
Practice Address - Country:US
Practice Address - Phone:517-852-9150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty