Provider Demographics
NPI:1811351794
Name:GENX INVESTMENTS LLC
Entity type:Organization
Organization Name:GENX INVESTMENTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:MONTEE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:615-471-4727
Mailing Address - Street 1:3538 MURFREESBORO PIKE
Mailing Address - Street 2:STE 305
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2578
Mailing Address - Country:US
Mailing Address - Phone:615-471-4727
Mailing Address - Fax:615-471-4765
Practice Address - Street 1:3538 MURFREESBORO PIKE
Practice Address - Street 2:STE 305
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2578
Practice Address - Country:US
Practice Address - Phone:615-471-4727
Practice Address - Fax:615-471-4765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-07
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8301122300000X
TN8290122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty