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Contact Information

STATE OF TENNESSEE
710 HART LN
NASHVILLE, TN37216-2627
 Phone: 615-650-7000
 Fax: 615-262-6139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for STATE OF TENNESSEE

NPI # 1720125545
LBN Legal business name STATE OF TENNESSEE
Authorized official ANNETTE HALEY - (REGIONAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2007
Last updated 08/28/2012 - About 14 years ago
Identifiers
TN Medicaid 4447844
TN Other 014540 DORAL DENTAL LOCATION ID
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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