SOUTHERN FAMILY DENTISTRY (NPI# 1477032050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477032050 |
| Entity Type | Organization |
| Organization Name | SOUTHERN FAMILY DENTISTRY |
| Practice Address |
2025 S 1st St Milan TN 38358-3004 |
| Mailing Address |
Po Box 163 Milan TN 38358-0163 |
| Practice Telephone | 7316861151 |
| Practice Fax Number | 7316132133 |
| Mailing Telephone | 7316861151 |
| Mailing Fax Number | 7316132133 |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |
| Authorized Official Name | DR. NATHAN DAVID NASH (OWNER) |
| Authorized Official Telephone | 7316861151 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8906 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689896250 | Southern Family Dentistry | Dentist | 115 Bridgeton Plz, Byram, MS 39272-8711 | 2007-05-03 |
| Street Address |
2025 S 1ST ST |
| City | MILAN |
| State | TN |
| Zip Code | 38358-3004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811137235 | Robert Tyree Patrick I | Dentist | 2025 S 1st St, Milan, TN 38358-3004 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478561 | Virginia Houston Emerson | Pharmacist | Walgreens 15785, 6068 S First St, Milan, TN 38358 | 2020-08-20 |
| 1245756329 | Trey Anderson Tate | Physical Therapist | 2060 Rhino Crossing, Milan, TN 38358 | 2017-08-21 |
| 1407254808 | Shelley Nicole Reaves | Registered Nurse | 9159 Telecom Dr, Milan, TN 38358 | 2014-12-17 |
| 1871908632 | Kathleen L Ingalls | Physical Therapist | 6070 D South First Street, Milan, TN 38358 | 2014-06-30 |
| 1881968550 | Home Master Group | Contractor | 2052 Rhino Crossing, Milan, TN 38358 | 2012-02-28 |
| 1073826889 | Howell Scott Holmes Jr. | Physical Therapist | 2047 Kefauver Dr Ste B, Milan, TN 38358 | 2010-07-21 |
| 1831249093 | State of Tennessee | Public Health or Welfare | 6501 Telecom Drive, Milan, TN 38358 | 2007-01-11 |
| 1275681744 | Krystal L Maclin | Occupational Therapist | 8017 Dogwood Lane, Milan, TN 38358 | 2007-01-08 |
| 1417978206 | Carol Ann Minton | Optometrist | 6032 Telecom Drive, Milan, TN 38358 | 2006-07-21 |
| 1487682142 | William Hudson Harrison | Dentist | 4129 S 1st St, Milan, TN 38358 | 2006-06-29 |
| Find all providers in zip 38358 | ||||
| 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 |
|---|---|---|---|---|
| 1811137235 | Robert Tyree Patrick I | Dentist | 2025 S 1st St, Milan, TN 38358-3004 | 2009-02-25 |
| 1528287380 | John K Schmidt | Dentist | 312 3rd St W, Milan, IL 61264-2452 | 2007-04-24 |
| 1316065345 | Anthony Charles Vansoest | Dentist | 102 E 1st St, Milan, MO 63556-1351 | 2007-03-27 |
| 1205843356 | Gene Douglas Strathdee | Dentist | 527 2nd St W, Milan, IL 61264-2743 | 2006-08-02 |
| 1902809726 | Milan Dental Associates, D.d.s., P.C. | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2005-05-24 |
| 1851754592 | Meridian Dentistry | Dentist | 49 E Main St, Milan, MI 48160-1476 | 2016-03-31 |
| 1841452711 | Brian Mayday Dds,pc | Dentist | 21 E Main St, Milan, MI 48160-1248 | 2008-07-01 |
| 1053467829 | Stephen R. Gregg | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2007-01-26 |
| 1093861866 | Eric W Peacock | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2007-01-26 |
| 1568518330 | M.antonia Ausum | Dentist | 519 W Main St, Milan, MI 48160-9559 | 2007-01-26 |
| Find all providers in MILAN | ||||
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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.