Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boulevard Dental PLLC

Organization General Practice Dentistry · NPI 1114865672

Boulevard Dental PLLC is a General Practice Dentistry in Fairview, Tennessee. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2280 Fairview Blvd
Fairview, TN 37062-9048
Phone: (770) 328-9963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1114865672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnna Hayman — Owner · (615) 544-6450
NPI enumeratedMarch 24, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address2280 Fairview Blvd, Fairview, TN 37062-9048

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