Nola Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NOLA DENTAL CLINIC

Practice address

6757 E Shelby Dr
Memphis, TN 38141-7846

Phone

(901) 207-4577

NPI assigned

Oct 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. James Bennett Jr., DMD

Title

Dentist/Owner

Phone

(901) 207-4577

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1093358103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6757 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417846",
            "telephone_number": "901-207-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6757 E SHELBY DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417846",
            "telephone_number": "901-207-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "901-207-4577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNESSEE DENTAL LICENSE NUMBER",
            "identifier": "10996",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kathryn Noel, RNC, NNP
• Charresa Noel
• Edvena Doretha Noel, PHARMD
• Julia Yvonne Noel, MS, RD, LDN, CLS
• Jason Noffsinger, CRNA
• Allison Rebecca Nolan, CTRS
• Cassandra Alexis Nolder, AU.D., CCC-A
• Brianna Nolen
• None
• Noor Haven Inc

• 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 Oct 21, 2019; 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.