Provider Demographics
NPI:1033358031
Name:NEXT GENERATION DENTISTS, LLC
Entity Type:Organization
Organization Name:NEXT GENERATION DENTISTS, LLC
Other - Org Name:FAMILY & COSMETIC DENTISTRY OF NASHVILLE, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SHAROW
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-366-7154
Mailing Address - Street 1:2120 MURFREESBORO PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-3311
Mailing Address - Country:US
Mailing Address - Phone:615-366-7154
Mailing Address - Fax:615-399-9702
Practice Address - Street 1:2120 MURFREESBORO PIKE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37217-3311
Practice Address - Country:US
Practice Address - Phone:615-366-7154
Practice Address - Fax:615-399-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-13
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8350261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN=========OtherTIN