Active NPI
Tindle Family Dentistry PA
- Dentist
- Madison, MS
National Provider Identifier
1013631571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- TINDLE FAMILY DENTISTRY PA
- Doing business as
- Tindle Family Dentistry PA
- Practice address
- 1021 Gluckstadt Rd Ste 100
Madison, MS 39110-3911 - Phone
- (769) 567-2800
- NPI assigned
- Sep 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Trevor Tindle, DMD
- Title
- Owner
- Phone
- (769) 567-2800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1021 Gluckstadt Rd Ste 100
Madison, MS 39110-3911
Mailing address
1021 Gluckstadt Rd Ste 100
Madison, MS 39110
Phone (769) 567-2800
Other names 1
- Tindle Family Dentistry PA
National Provider Directory
National Provider DirectoryLocations
1021 Gluckstadt Rd
Ste 100
Gluckstadt, MS 39110
Phone (769) 567-2800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Madison, MS
- NPI 1689050262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664323200000",
"number": "1013631571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 GLUCKSTADT RD STE 100",
"city": "MADISON",
"state": "MS",
"postal_code": "39110",
"telephone_number": "769-567-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 GLUCKSTADT RD STE 100",
"city": "MADISON",
"state": "MS",
"postal_code": "391103911",
"telephone_number": "769-567-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TINDLE FAMILY DENTISTRY PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-27",
"status": "A",
"authorized_official_last_name": "TINDLE",
"authorized_official_first_name": "TREVOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "769-567-2800",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tindle Family Dentistry PA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.