Provider Demographics
NPI:1952014680
Name:DENTAL HAVEN LLC
Entity Type:Organization
Organization Name:DENTAL HAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:HORD
Authorized Official - Last Name:GIRMSCHEID
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-777-6888
Mailing Address - Street 1:7020 BERRY FARMS CROSSING
Mailing Address - Street 2:SUITE 216
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064
Mailing Address - Country:US
Mailing Address - Phone:502-777-6888
Mailing Address - Fax:
Practice Address - Street 1:7020 BERRY FARMS CROSSING
Practice Address - Street 2:SUITE 216
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064
Practice Address - Country:US
Practice Address - Phone:502-777-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty