Provider Demographics
NPI:1669092573
Name:NEXT LEVEL DENTAL, P.C.
Entity type:Organization
Organization Name:NEXT LEVEL DENTAL, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:COLEY
Authorized Official - Middle Name:WILSON
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:II
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-459-6354
Mailing Address - Street 1:693 PRESIDENT PL STE 101
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-8602
Mailing Address - Country:US
Mailing Address - Phone:615-459-6354
Mailing Address - Fax:615-459-6326
Practice Address - Street 1:693 PRESIDENT PL STE 101
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-8602
Practice Address - Country:US
Practice Address - Phone:615-459-6354
Practice Address - Fax:615-459-6326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty