SOUTHEASTERN DENTAL PLLC


Address: 117 Gallatin Pike N, Madison, TN 37115-3701
Phone: 6158686177

SOUTHEASTERN DENTAL PLLC (NPI# 1386209849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386209849
Entity Type Organization
Organization Name SOUTHEASTERN DENTAL PLLC
Practice Address 117 Gallatin Pike N
Madison
TN 37115-3701
Practice Telephone 6158686177
Mailing Telephone 6158686177
Enumeration Date 2019-05-09
Last Update Date 2019-05-09
Authorized Official Name VICKIE J METCALF (PRACTICE ADMINISTRATOR)
Authorized Official Telephone 6155683258
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 117 GALLATIN PIKE N
City MADISON
State TN
Zip Code 37115-3701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164592226 Darren G Foster Dentist 117 Gallatin Pike N, Madison, TN 37115-3701 2006-11-08
1801325667 Sarah M Moore Dentist 117 Gallatin Pike N, Madison, TN 37115-3701 2017-06-06
1932652302 Kinjal Vora Dentist 117 Gallatin Pike N, Madison, TN 37115-3701 2016-08-02
1225211287 Floyd Ray Taylor Dentist 117 Gallatin Pike N, Madison, TN 37115-3701 2007-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023675212 Kennedy Wayne Germany Jr. Specialist/Technologist 813 Seashell Cove, Madison, TN 37115 2019-05-22
1497211387 Latasha Monique Williams Social Worker Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 2019-02-15
1659866481 Amanda Elliott Pharmacist 109 Gallatin Rd, Madison, TN 37115 2018-06-25
1760938492 Larry Cox Case Manager/Care Coordinator 620 S. Gallatin Pike, Madison, TN 37115 2016-09-01
1407202799 National Vision, Inc. Technician/Technologist 1785 Gallatin Pike N, Madison, TN 37115 2016-05-05
1992190193 Emily Tibbs Case Manager/Care Coordinator 620 Gallatin Pike, Madison, TN 37115 2015-04-03
1164829982 Laura Boswell Case Manager/Care Coordinator 620 Gallatin Pike South, Madison, TN 37115 2014-11-21
1720498058 Edward Andrew Roberts Chiropractor 1710 Gallatin Pike N, Madison, TN 37115 2014-05-08
1700296217 Lamonia Merritt Student in an Organized Health Care Education/Training Program 645 Cheyenne Blvd, Madison, TN 37115 2014-05-06
1629497656 Corey Joseph Cloud Dentist 500 Lentz Dr Ste 40, Madison, TN 37115 2014-04-07
Find all providers in zip 37115

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790343051 Madison Dental Spa Clinic/Center 90 Wall St Ste 100, Madison, CT 06443-3128 2019-06-03
1306301072 Dr. Lee Gus Dunker Clinic/Center 424 West St, Madison, IN 47250-3302 2019-02-06
1518422880 Bright Dental Madison LLC Clinic/Center 7866 Mineral Point Rd, Madison, WI 53717-2028 2019-01-31
1992217053 Great Day Dental of Monona Clinic/Center 2010 Eastwood Dr Ste 206, Madison, WI 53704-5387 2017-10-30
1770913220 L.l. Barnett Dental Solutions, P.C. Clinic/Center 7185 Highway 72 W Ste C, Madison, AL 35758-6650 2013-11-20
1114210481 Abcom Family Dental Care Clinic/Center 5402 Mineral Point Rd, Madison, WI 53705-4659 2011-05-19
1790976553 Dr Andrew D Friedman Dmd Clinic/Center 21 Old Point Ave, Madison, ME 04950-1114 2007-08-07
1235351750 Madison Dental Care Clinic/Center 535 Gallatin Pike S, Madison, TN 37115-4010 2007-05-03
1417421421 Kevin L. Klinedinst Dds PC Clinic/Center 110 Miles Ridge Rd, Madison, IN 47250-2410 2019-01-14
1417476458 Madison Dental LLC Clinic/Center 2110 Fordem Ave, Madison, WI 53704-4610 2017-09-11
Find all providers in MADISON

Competitor

Search similar providers

City MADISON
Zip Code 37115

Improve Information

Please comment or provide details below to improve the information on SOUTHEASTERN DENTAL PLLC.

Dataset Information

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.

Trending Searches