LA VERGNE DENTAL ASSOCIATES, PLLC (NPI# 1356954838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356954838 |
| Entity Type | Organization |
| Organization Name | LA VERGNE DENTAL ASSOCIATES, PLLC |
| Practice Address |
6001 Jackson Square Blvd Ste 1001 La Vergne TN 37086-2768 |
| Practice Telephone | 6152602667 |
| Practice Fax Number | 6152806615 |
| Mailing Telephone | 6152602667 |
| Mailing Fax Number | 6152806615 |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |
| Authorized Official Name | DR. RYAN MARK O'NEILL (OWNER / DENTIST) |
| Authorized Official Telephone | 6152802667 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Tennessee Family Dental La Vergne | Doing Business As Name - Organization |
| Street Address |
6001 JACKSON SQUARE BLVD STE 1001 |
| City | LA VERGNE |
| State | TN |
| Zip Code | 37086-2768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184146037 | Elizabeth Vernon | Nurse Practitioner | 126 Washer Drive, La Vergne, TN 37086 | 2017-07-12 |
| 1508164997 | Priscilla Bolt Travis | Pharmacist | 5192 Murfreesboro Road, Rite Aid Pharmacy, Lavergne, TN 37086 | 2011-03-09 |
| 1336349000 | Larry M Gray | Marriage & Family Therapist | 6001 Jackson Square Blvd., Suite 200, Lavergne, TN 37086 | 2007-07-20 |
| 1346456845 | Chd Meridian Healthcare | Clinic/Center | 1201 Bridgestone Parkway, Lavergne, TN 37086 | 2007-05-14 |
| 1821140468 | Dawn Eilenne Fleming | Dentist | 6001 Jackson Square Blvd., Ste. 1001, Lavergne, TN 37086 | 2007-01-16 |
| 1700941291 | Karl A Probst | Chiropractor | 262 Old Nashville Hwy, La Vergne, TN 37086 | 2006-12-26 |
| 1659447571 | Lucy Burgin Sloan | Dentist | 379 Waldron Rd, Lavergne, TN 37086 | 2006-11-24 |
| 1306929005 | Rutherford County Medical Associates, LLC | Family Medicine | 6001 Jackson Sq, Suite 100 Family Healthcare, La Vergne, TN 37086 | 2006-10-24 |
| 1164525887 | Tennessee Cvs Pharmacy LLC | Pharmacy | 5202 Murfreesboro Rd, La Vergne, TN 37086 | 2006-09-07 |
| 1265429898 | Melissa Robison | Pharmacy Technician | 108 Enon Springs Rd, Smyrna, TN 37086 | 2005-09-29 |
| Find all providers in zip 37086 | ||||
| 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 |
|---|---|---|---|---|
| 1750719423 | Garnet Gary Jack | Dentist | 1217 Highland Hills Dr, La Vergne, TN 37086-4112 | 2013-10-16 |
| 1801887005 | Odds Dental Services, P.C. | Dentist | 101 Cheerful Pl, La Vergne, TN 37086-3608 | 2005-11-04 |
| 1760471064 | Arvind K Patel | Dentist | 5168 Murfreesboro Rd, La Vergne, TN 37086-2712 | 2005-10-19 |
| 1194998492 | Marvo Odds | Dentist | 101 Cheerful Pl, La Vergne, TN 37086-3608 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909350 | Brandie White | Dentist | 2823 Hwy 31w South Ste 300, White House, TN 37188 | 2020-10-16 |
| 1497361596 | Crosstown Dental Group Highland Row LLC | Dentist | 431 S Highland St Ste 115, Memphis, TN 38111-1633 | 2020-09-23 |
| 1487268132 | Tennessee Dental Professionals, PC | Dentist | 3817 Bedford Ave Ste 110, Nashville, TN 37215-2534 | 2020-09-01 |
| 1467065326 | Kevin Melanio Corvacho | Dentist | 2854 N Main St Ste 102, Crossville, TN 38555-5413 | 2020-08-28 |
| 1063025336 | Vaughan Family Dentistry, PC | Dentist | 27001 Main St., Ardmore, TN 38449 | 2020-08-26 |
| 1962014399 | Jordan Evans | Dentist | 4957 Swinyar Dr Ste 111, Ooltewah, TN 37363-2205 | 2020-08-18 |
| 1740890136 | Sarah Hartlerode | Dentist | 5915 N Watkins Rd, Millington, TN 38053-6936 | 2020-07-31 |
| 1942818661 | Shelby Victoria Nelson | Dentist | 1950 Downs Blvd Ste 101, Franklin, TN 37064-1561 | 2020-07-20 |
| 1922626019 | Randy Bagay | Dentist | 1350 Concourse Ave Ste 446, Memphis, TN 38104-2026 | 2020-07-06 |
| 1518584952 | Katherine Olivia Hughes | Dentist | 1189 Vann Dr, Jackson, TN 38305-6098 | 2020-07-01 |
| Find all providers with the same taxonomy | ||||
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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.