IMPERIAL DENTAL (NPI# 1588045454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588045454 |
| Entity Type | Organization |
| Organization Name | IMPERIAL DENTAL |
| Practice Address |
5126 Summer Ave 101 Memphis TN 38122-4400 |
| Practice Telephone | 9018181990 |
| Practice Fax Number | 9018181991 |
| Mailing Telephone | 9018181990 |
| Mailing Fax Number | 9018181991 |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |
| Authorized Official Name | SPARKLE EULLS (OFFICE MANAGER) |
| Authorized Official Telephone | 9018181990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8099 | TN | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | IMPERIAL DENTAL LAB, LLC | 16960 Alico Mission Way Ste 100-101, Fort Myers, FL 33908-4844 |
| Virginia Business Entities | IMPERIAL DENTAL LABORATORIES LTD. |
| Street Address |
5126 SUMMER AVE 101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38122-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336378272 | Ac Dental of Tennessee, Plc | Clinic/Center | 5126 Summer Ave, Suite 101, Memphis, TN 38122-4408 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235665746 | Casey Grier Smith | Student in an Organized Health Care Education/Training Program | 3628 Autumn Ave, Memphis, TN 38122 | 2017-05-03 |
| 1730463076 | H. George Wood Jr. | Pharmacist | 3502 Summer Avenue, Memphis, TN 38122 | 2011-10-05 |
| 1093932766 | Midtown Mental Center | Point of Service | 790 Bartlett Rd #28, Memphis, TN 38122 | 2007-04-20 |
| 1508988254 | Mahboubeh Sayed Taghavi | Dentist | 5126 Summer Ave Suite 101, Memphis, TN 38122 | 2007-04-04 |
| 1700977014 | Christopher M Nunnelee | Dentist | 752 National St, Memphis, TN 38122 | 2006-09-28 |
| 1508958398 | Pirani & Nunnelee Dds Plc | Dentist | 752 National St, Memphis, TN 38122 | 2006-09-29 |
| 1417048729 | Carlo B Pirani Jr. | Dentist | 752 National St, Memphis, TN 38122 | 2006-09-28 |
| 1689708067 | Michele Gaur | Speech-Language Pathologist | 940 Dwyer St, Memphis, TN 38122-1920 | 2007-03-15 |
| 1497855522 | Mary Pat Corrigan Jobes | Physical Therapist | 977 Giaroli St, Memphis, TN 38122-1934 | 2006-09-25 |
| 1649717588 | Rebecca Ruth Cox | Advanced Practice Midwife | 3638 Macon Rd, C/o The Morning Center, Memphis, TN 38122-2209 | 2017-01-30 |
| Find all providers in zip 38122 | ||||
| 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 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1457793929 | Acadia Helath LLC | Dentist | 1000 Ridgeway Loop Rd, Suite 203, Memphis, TN 38120-4045 | 2013-07-24 |
| 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.