Hickory Hill Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

DS7039 Issued in TN

Legal business name

HICKORY HILL DENTAL CARE

Practice address

1952 Lamar Avenue
Memphis, TN 38114

Phone

(901) 276-4629

Fax

(901) 276-1859

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Lee Myers I, D.D.S.NPI 1104815091

Title

Dentist/Owner

Phone

(901) 797-3077

Specialties & licenses 1

Addresses

Other names 1

• Hickory Hill Family Dentistry Former legal business name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lee T Myers

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1104815091
  NPD (past) Authorized official
• Jill M Adney, RDH

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1932923273
  NPD (past)
• Monica Sangster Wheeler, D.D.S.

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1104171883
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374537600000",
    "number": "1023256393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 RIVERDALE ROAD",
            "address_2": "STE. 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155322",
            "telephone_number": "901-797-3077",
            "fax_number": "901-433-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1952 LAMAR AVENUE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38114",
            "telephone_number": "901-276-4629",
            "fax_number": "901-276-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY HILL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2013-07-23",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "901-797-3077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS7039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Hill Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William Leslie Hickerson, MD
• Jennifer Lynn Hickman
• Jonathan Todd Hickman, LCSW
• Jordan Hickman
• Joyce A Hickman, B.S.
• Hickory Hill Family Medical Clinic
• Hicks Consulting PLLC
• Anthony Hicks, MD
• Austin Brianne Hicks, BA
• Brannon Rice Hicks Jr., MD

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.