OrganizationActive
Hermitage Pediatric Dentistry
NPI 1174852958 · Dental Clinic/Center · Hermitage, TN
Hermitage Pediatric Dentistry is a Dental Clinic/Center organization in Hermitage, TN (NPI 1174852958).
Provider details
- NPI number
- 1174852958
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kirkland Larson, Dentist(615) 889-1654
- License
- 8202 (TN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
107 Bonnabrook Dr
Hermitage, TN 37076-1910
Phone: (615) 889-1654
Fax: (615) 316-9197
Street-level locationGet directions
Mailing address
107 Bonnabrook Dr
Hermitage, TN 37076-1910
Registry dates
- Enumerated
- 2009-12-08
- Last updated
- 2009-12-08
Frequently asked questions
- What is Hermitage Pediatric Dentistry's NPI number?
- Hermitage Pediatric Dentistry's National Provider Identifier (NPI) is 1174852958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hermitage Pediatric Dentistry?
- Hermitage Pediatric Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Hermitage Pediatric Dentistry located?
- Hermitage Pediatric Dentistry's practice location on file with NPPES is 107 Bonnabrook Dr, Hermitage, TN 37076-1910.
- What is Hermitage Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Hermitage Pediatric Dentistry is (615) 889-1654.
- Who is the authorized official for Hermitage Pediatric Dentistry?
- The authorized official listed on Hermitage Pediatric Dentistry's NPPES record is Kirkland Larson, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hermitage Pediatric Dentistry's NPI active?
- Yes — Hermitage Pediatric Dentistry's NPI (1174852958) is active in the NPPES registry as of the last update on 2009-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.