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Cd Tennessee Dental, P.C.

General Practice Dentistry in Goodlettsville, TN · enumerated 2024 · authorized official Ty Justice, Director of Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700619244

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Registry record

Entity type Organization (Type 2)
Legal business name Cd Tennessee Dental, P.C.
Practice address 3050 Business Park Cir Ste 202, Goodlettsville, TN, 37072
Fax (615) 859-6222
Enumeration date Aug 21, 2024
Last updated in NPPES Aug 21, 2024

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary
1223P0300X Periodontics Dental Providers Secondary
1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Secondary

Authorized official

Name Ty Justice
Title Director of Credentialing

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Cd Tennessee Dental, P.C.?
Cd Tennessee Dental, P.C. is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-08-21.