Organization Active NPI

Tindle Family Dentistry PA

  • Dentist
  • Madison, MS
National Provider Identifier
1013631571
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Sep 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Trevor Tindle, DMDNPI 1689050262
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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.