Provider Demographics
NPI:1639228620
Name:DALE PILKINTON MD PC
Entity Type:Organization
Organization Name:DALE PILKINTON MD PC
Other - Org Name:PILKINTON EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:PILKINTON
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:615-329-7890
Mailing Address - Street 1:300 20TH AVE N
Mailing Address - Street 2:SUITE 504
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2131
Mailing Address - Country:US
Mailing Address - Phone:615-329-7890
Mailing Address - Fax:615-329-7892
Practice Address - Street 1:300 20TH AVE N
Practice Address - Street 2:SUITE 504
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-2131
Practice Address - Country:US
Practice Address - Phone:615-329-7890
Practice Address - Fax:615-329-7892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2011-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3710722Medicare ID - Type Unspecified