Provider Demographics
NPI:1609048834
Name:STARLING ORTHODONTICS, PLLC
Entity Type:Organization
Organization Name:STARLING ORTHODONTICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:M
Authorized Official - Last Name:STARLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-507-1660
Mailing Address - Street 1:1177 OLD HICKORY BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4241
Mailing Address - Country:US
Mailing Address - Phone:615-507-1660
Mailing Address - Fax:615-507-1661
Practice Address - Street 1:1177 OLD HICKORY BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4241
Practice Address - Country:US
Practice Address - Phone:615-507-1660
Practice Address - Fax:615-507-1661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8201261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN9177357OtherDORAL DENTAL USA