TENNESSEE DENTAL PROFESSIONALS, PC (NPI# 1023572096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023572096 |
| Entity Type | Organization |
| Organization Name | TENNESSEE DENTAL PROFESSIONALS, PC |
| Other Organization Name | MOUSE CREEK DENTAL CARE |
| Practice Address |
609 Paul Huff Pkwy Nw Cleveland TN 37312-2970 |
| Practice Telephone | 4232440783 |
| Mailing Telephone | 4232440783 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175405100 |
| Is Organization Subpart | Y |
| Parent Organization Name | TENNESSEE DENTAL PROFESSIONALS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Mouse Creek Dental Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 609 Paul Huff Pkwy Nw, Cleveland, TN 373122970 | 2175405100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268132 | Tennessee Dental Professionals, PC | Dentist | 3817 Bedford Ave Ste 110, Nashville, TN 37215-2534 | 2020-09-01 |
| 1639712763 | Tennessee Dental Professionals, PC | Dentist | 9915 Macon Rd, Cordova, TN 38016-6637 | 2019-10-22 |
| 1568932341 | Tennessee Dental Professionals, PC | Dentist | 1730 Lee Victory Pkwy, Smyrna, TN 37167-6674 | 2018-12-05 |
| 1174000780 | Tennessee Dental Professionals, PC | Dentist | 349 S Illinois Ave Ste 300, Oak Ridge, TN 37830-6756 | 2018-07-26 |
| 1003329285 | Tennessee Dental Professionals, PC | Dentist | 1055 W Poplar Ave, Collierville, TN 38017-3180 | 2017-11-10 |
| 1477066652 | Tennessee Dental Professionals, PC | Dentist | 8790 Walnut Grove Rd, Cordova, TN 38018-4379 | 2017-11-10 |
| 1750732228 | Tennessee Dental Professionals, PC | Dentist | 574 E Emory Rd, Powell, TN 37849-3519 | 2016-06-27 |
| 1891168183 | Tennessee Dental Professionals, PC | Dentist | 2030 Crossing Circle, Spring Hill, TN 37174 | 2015-11-09 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1932707320 | Tennessee Dental Professionals, PC | Dentist | 1890 N Germantown Pkwy Ste 105, Cordova, TN 38016-3325 | 2020-10-16 |
| Street Address |
609 PAUL HUFF PKWY NW |
| City | CLEVELAND |
| State | TN |
| Zip Code | 37312-2970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699327189 | Jonathan Seard | Dentist | 609 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2019-07-15 |
| 1003474909 | Jamie Trott | Dentist | 609 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2019-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041196 | Middle Tennessee Treatment Clinics, LLC | Clinic/Center | 3575 Keith Street Nw, Cleveland, TN 37312 | 2020-10-22 |
| 1922630870 | Samuel Anthony Pharr | Physical Therapist | 1090 Tasso Lane, Ne, Cleveland, TN 37312 | 2020-02-09 |
| 1508400235 | Paul E. Pinson | Anesthesiology | 3917 Georgetown Road, Nw, Cleveland, TN 37312 | 2019-11-06 |
| 1902456114 | Brittani P Munck | Technician | 147 Gable Dr Nw, Cleveland, TN 37312 | 2019-09-19 |
| 1053975243 | Christian Joy Mcgirt | Counselor | 4160 North Ocoee Street, Suite 8, Cleveland, TN 37312 | 2019-04-24 |
| 1629558812 | Back In Motion, Inc. | Chiropractor | 3771 Georgetown Rd. Nw, Cleveland, TN 37312 | 2018-08-16 |
| 1508342221 | Andre L James | Case Manager/Care Coordinator | 2600 Executive Drive, Cleveland, TN 37312 | 2018-07-16 |
| 1386152197 | Courtney Ferguson | Behavioral Analyst | 3505 Adkisson Dr Nw Ste 166, Cleveland, TN 37312 | 2018-01-15 |
| 1669992285 | Nurseprofessionals | Licensed Practical Nurse | 2901 Peerless Road, Cleveland, TN 37312 | 2017-06-24 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| Find all providers in zip 37312 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049597 | Leila Saeed | Dentist | A2z Dental & Braces, Cleveland, TX 77327-1655 | 2020-09-30 |
| 1679183701 | Ryba Dentistry LLC | Dentist | 3219 Detroit Ave Ste 102, Cleveland, OH 44113-2759 | 2020-08-04 |
| 1568015881 | Garett Samarie Patterson | Dentist | 5350 Transportation Blvd Ste 8, Cleveland, OH 44125-5307 | 2019-07-17 |
| 1902468069 | Stephen Andrew Akin | Dentist | 166 Quillian St, Cleveland, GA 30528-1431 | 2019-06-28 |
| 1083185516 | Dental Professional Cleveland - Nouneh, Inc. | Dentist | 3269 Steelyard Dr, Cleveland, OH 44109-2381 | 2018-12-10 |
| 1730660770 | Dr Marino and Associates Inc | Dentist | 5716 Broadway Ave, Cleveland, OH 44127-1715 | 2018-08-28 |
| 1164924379 | Savitha Deepthi Yannam | Dentist | 13855 Superior Rd Apt 1309, Cleveland, OH 44118-1045 | 2018-03-03 |
| 1245745686 | Smiles for A Lifetime, Pa | Dentist | 117 E Houston St, Cleveland, TX 77327-4509 | 2017-12-07 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1861928202 | Raanne Ray Tindle D.m.d., P.a. | Dentist | 601 W Sunflower Rd, Cleveland, MS 38732-2527 | 2017-05-04 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on TENNESSEE DENTAL PROFESSIONALS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.