Dekalb Dental Center Pllc is a medicare enrolled dental clinic (Dentist - General Practice) in Smithville, Tennessee. The current practice location for Dekalb Dental Center Pllc is 201 S 3rd St, Smithville, Tennessee. For appointments, you can reach them via phone at
(615) 597-4798. The mailing address for Dekalb Dental Center Pllc is 201 S 3rd St, Smithville, Tennessee and phone number is (615) 597-4798.
Dekalb Dental Center Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1700452026. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(615) 597-4798.
Dental Care Clinic Profile
| Full Name | Dekalb Dental Center Pllc |
|---|
| Speciality | Dentist |
|---|
| Location | 201 S 3rd St, Smithville, Tennessee |
|---|
| Authorized Official Name and Position | Mitchell Scott Tatum (OWNER) |
|---|
| Authorized Official Contact | 6155974798 |
|---|
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
|---|
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dekalb Dental Center Pllc
201 S 3rd St
Smithville
TN 37166-1712
Ph: (615) 597-4798 | Dekalb Dental Center Pllc
201 S 3rd St
Smithville
TN 37166-1712
Ph: (615) 597-4798 |
NPI Details:
| NPI Number | 1700452026 |
|---|
| Provider Enumeration Date | 05/27/2021 |
|---|
| Last Update Date | 05/27/2021 |
|---|
Medicare PECOS Information:
| Medicare PECOS PAC ID | 5294135067 |
|---|
| Medicare Enrollment ID | O20210616000177 |
|---|
Medical Identifiers
Medical identifiers for Dekalb Dental Center Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700452026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Dekalb Dental Center Pllc acts as a billing entity for following providers:
| Provider Name | Mitchell Scott Tatum |
|---|
| Provider Type | Practitioner - Dentist |
|---|
| Provider Identifiers | NPI Number: 1831296425
PECOS PAC ID: 5496058661
Enrollment ID: I20210616000320 |
|---|
Reviews and Comments