TENNESSEE DENTAL PROFESSIONALS, PC (NPI# 1477066652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477066652 |
Entity Type | Organization |
Organization Name | TENNESSEE DENTAL PROFESSIONALS, PC |
Other Organization Name | DENTISTRY ON WALNUT GROVE |
Practice Address |
8790 Walnut Grove Rd Cordova TN 38018-4379 |
Practice Telephone | 2175405100 |
Mailing Telephone | 2175405100 |
Enumeration Date | 2017-11-10 |
Last Update Date | 2017-11-10 |
Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 2175408426 |
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 |
---|---|
Dentistry on Walnut Grove | Doing Business As Name - Organization |
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 |
1023572096 | Tennessee Dental Professionals, PC | Dentist | 609 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2019-01-24 |
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 |
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 |
8790 WALNUT GROVE RD |
City | CORDOVA |
State | TN |
Zip Code | 38018-4379 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
Find all providers in zip 38018 |
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 |
---|---|---|---|---|
1639712763 | Tennessee Dental Professionals, PC | Dentist | 9915 Macon Rd, Cordova, TN 38016-6637 | 2019-10-22 |
1760981310 | Contagious Smiles PC | Dentist | 695 N Germantown Pkwy Ste 101, Cordova, TN 38018-6880 | 2018-02-09 |
1508007717 | Botts Dental Spa PC | Dentist | 1055 N. Houston Levee Rd., Suite 102, Cordova, TN 38018-6689 | 2009-03-18 |
1346496593 | Comfort Zone Dental Center, LLC | Dentist | 9200 Chimneyrock Blvd, Suite 104, Cordova, TN 38016-2323 | 2008-08-07 |
1508038381 | Keith Morris Family Denistry | Dentist | 8089 Walnut Run Rd Ste 1, Cordova, TN 38018-8844 | 2008-04-01 |
1558580787 | Stephen Craig Alsobrook | Dentist | 280 German Oak Dr, Cordova, TN 38018-7220 | 2007-04-25 |
1376669549 | H Cannon Doan | Dentist | 8135 Walnut Grove Rd, Suite 4, Cordova, TN 38018-4240 | 2007-03-21 |
1992829493 | William M Locante | Dentist | 850 Willow Tree Cir, Cordova, TN 38018-6376 | 2007-03-19 |
1639207293 | Teresa Macaraeg | Dentist | 8295 Cordova Road, Suite 101, Cordova, TN 38018 | 2007-03-02 |
1699810911 | Herbert Nathen Slovis | Dentist | 315 South Walnut Bend Road, Cordova, TN 38018-2572 | 2007-02-21 |
Find all providers in CORDOVA |
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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.