Provider Demographics
NPI:1750964854
Name:DENTAL HAUS GERMANTOWN PLLC
Entity type:Organization
Organization Name:DENTAL HAUS GERMANTOWN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLINT
Authorized Official - Middle Name:EDWIN
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-385-3507
Mailing Address - Street 1:1390 ADAMS ST STE 12
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37208-1793
Mailing Address - Country:US
Mailing Address - Phone:615-412-2585
Mailing Address - Fax:
Practice Address - Street 1:1390 ADAMS ST STE 12
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-1793
Practice Address - Country:US
Practice Address - Phone:615-412-2585
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-05
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental