OrganizationActive
Centerville Dental
NPI 1174881965 · General Practice Dentistry · Centerville, TN
Provider details
- NPI number
- 1174881965
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jamie Lee, Owner(931) 729-2664
- License
- 8074 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
704 Highway 100
Ste 101
Centerville, TN 37033-1171
Phone: (931) 729-2664
Fax: (931) 729-2666
Street-level locationGet directions
Mailing address
704 Highway 100
Centerville, TN 37033-1171
Registry dates
- Enumerated
- 2012-04-30
- Last updated
- 2012-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.