TENNESSEE DENTAL PROFESSIONALS PC (NPI# 1255760385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255760385 |
| Entity Type | Organization |
| Organization Name | TENNESSEE DENTAL PROFESSIONALS PC |
| Other Organization Name | AUDUBON DENTAL GROUP |
| Practice Address |
370 Colonial Road 3 Memphis TN 38117 |
| Practice Telephone | 9018539800 |
| Mailing Telephone | 9018539800 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | KIM WILSON (CRED SUPERVISOR) |
| Authorized Official Telephone | 2175405170 |
| 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 |
|---|---|
| Audubon Dental Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065969 | Tennessee Dental Professionals PC | Dentist | 2069 Nashville Pike, Gallatin, TN 37066 | 2019-07-19 |
| 1497140008 | Tennessee Dental Professionals PC | Dentist | 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 | 2015-03-31 |
| 1275931958 | Tennessee Dental Professionals PC | Dentist | 301 White House Crossing Way, Ste. B, White House, TN 37188-1400 | 2014-12-12 |
| 1659774040 | Tennessee Dental Professionals PC | Dentist | 2207 Lowes Dr W Ste A, Clarksville, TN 37040-6964 | 2014-09-30 |
| 1396176889 | Tennessee Dental Professionals PC | Dentist | 3016 Columbia Drive, Franklin, TN 37064-4020 | 2013-12-09 |
| 1245528934 | Tennessee Dental Professionals PC | Dentist | 7839 Old Harding Pike, Nashville, TN 37221-3907 | 2011-07-14 |
| 1336441195 | Tennessee Dental Professionals PC | Dentist | 1101 Nashville Pike Ste 110, Gallatin, TN 37066-3494 | 2010-11-30 |
| 1811229719 | Tennessee Dental Professionals PC | Dentist | 315 Sam Ridley Pkwy W, Smyrna, TN 37167-5625 | 2010-02-03 |
| 1881836385 | Tennessee Dental Professionals PC | Dentist | 2441 Old Fort Pkwy, Suite L, Murfreesboro, TN 37128-4162 | 2009-03-30 |
| 1013312941 | Tennessee Dental Professionals PC | Dentist | 1715 W Main St, Lebanon, TN 37087-3153 | 2014-11-04 |
| Street Address |
370 COLONIAL ROAD 3 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| 1396031043 | Vance Wesley Tutor | Dentist | 766 S. White Station Rd. Ste 1, Memphis, TN 38117 | 2011-06-21 |
| Find all providers in zip 38117 | ||||
| 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 |
|---|---|---|---|---|
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| 1780200279 | Taylor Rae Vracar | Dentist | 875 Union Ave Ste 301, Memphis, TN 38103-3513 | 2020-06-19 |
| 1063982957 | Jasmine Copelanddds | Dentist | 1251 Wesley Dr Ste 130, Memphis, TN 38116-6443 | 2018-12-04 |
| 1770075681 | Bellano East Memphis, Pllc | Dentist | 5336 Estate Office Dr Ste 1, Memphis, TN 38119-3623 | 2018-06-06 |
| 1992200364 | Lauren Alyssia Henderson | Dentist | 5180 Park Ave Ste 210, Memphis, TN 38119-3530 | 2018-03-28 |
| 1598123986 | James F Proctor Dds Pa | Dentist | 1655 International Drive, Suite 203, Memphis, TN 38120-1436 | 2016-02-01 |
| 1497140008 | Tennessee Dental Professionals PC | Dentist | 6425 N Quail Hollow Rd Ste 102, Memphis, TN 38120-1438 | 2015-03-31 |
| 1457793929 | Acadia Helath LLC | Dentist | 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 | 2013-07-24 |
| 1386961233 | Roger Dale Kilcoyne | Dentist | 364 Garland St, Memphis, TN 38104-7129 | 2010-04-30 |
| Find all providers in MEMPHIS | ||||
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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.