Organization Active NPI

Tennessee Dental Team PLLC

  • Pediatric Dentistry
  • Nashville, TN
National Provider Identifier
1104637560
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TENNESSEE DENTAL TEAM PLLC
Practice address
500 28TH Ave N Ste 101
Nashville, TN 37209-4298
Phone
(615) 866-2799
Fax
(615) 866-2797
NPI assigned
Jan 15, 2025
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Marloin Cummings, DDS
Title
Owner
Phone
(602) 540-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

500 28TH Ave N Ste 101
Nashville, TN 37209-4298

Mailing address

500 28TH Ave N Ste 101
Nashville, TN 37209-4298
Phone (615) 866-2799

National Provider Directory

National Provider Directory

Locations

500 28th Ave N
Ste 101
Nashville, TN 37209
Phone (615) 866-2799

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1104637560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 28TH AVE N STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094298",
            "telephone_number": "615-866-2799",
            "fax_number": "615-866-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 28TH AVE N STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094298",
            "telephone_number": "615-866-2799",
            "fax_number": "615-866-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE DENTAL TEAM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "MARLOIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-540-0800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.