Provider Demographics
NPI:1134553829
Name:DENTAL BLISS, P.C.
Entity type:Organization
Organization Name:DENTAL BLISS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ATCHLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-794-8810
Mailing Address - Street 1:151 ROSA HELM WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8413
Mailing Address - Country:US
Mailing Address - Phone:615-794-8810
Mailing Address - Fax:615-794-2929
Practice Address - Street 1:151 ROSA HELM WAY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8413
Practice Address - Country:US
Practice Address - Phone:615-794-8810
Practice Address - Fax:615-794-2929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4127122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4127OtherTN DENTAL LICENSE NUMBER