# VIBE DENTAL OF FAIRVIEW

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649993874
- **Authorized official:** GWEN MCCONNELL (SUPPORT OFFICER)
- **Authorized official phone:** (931) 205-6838

## Contact information

- **Practice address:** 1696 FAIRVIEW BLVD STE 104, FAIRVIEW, TN 37062-5144
- **Practice address phone:** (615) 799-9234
- **Mailing address:** 317 S 2ND ST, PULASKI, TN 38478-3842
- **Mailing address phone:** (931) 205-6838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2022
- **Last updated:** 09/22/2022