Provider Demographics
NPI:1164989455
Name:NASHVILLE CENTER FOR SLEEP AND TMJ, PLLC
Entity Type:Organization
Organization Name:NASHVILLE CENTER FOR SLEEP AND TMJ, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:PALMER
Authorized Official - Last Name:SHIPP
Authorized Official - Suffix:IV
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-292-4100
Mailing Address - Street 1:4515 HARDING PIKE STE 312
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2197
Mailing Address - Country:US
Mailing Address - Phone:615-292-4100
Mailing Address - Fax:615-292-4181
Practice Address - Street 1:4515 HARDING PIKE STE 312
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2197
Practice Address - Country:US
Practice Address - Phone:615-292-4100
Practice Address - Fax:615-292-4181
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NASHVILLE CENTER FOR SLEEP AND TMJ, PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-22
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1619986791OtherNPI TYPE 1