Sidney Truman Fletcher, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNO 12611 Issued in GA

Practice address

465 N Germantown Pkwy
Ste. 105
Cordova, TN 38018-6692

Phone

(901) 249-2048

Fax

(901) 249-2059

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1104931534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 N GERMANTOWN PKWY",
            "address_2": "STE. 105",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186692",
            "telephone_number": "901-249-2048",
            "fax_number": "901-249-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N GERMANTOWN PKWY",
            "address_2": "STE. 105",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186692",
            "telephone_number": "901-249-2048",
            "fax_number": "901-249-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "SIDNEY",
        "middle_name": "TRUMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DNO 12611",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS9424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First Pharmacy Services of Country Village
• Jack Coleman Fisher, D.M.D
• Terrence Deshon Fisher
• Victoria Brooks Fisher, OT
• Sandra K Fletchall, OTRL,CHT,FAOTA,MPA
• Gradnette Fluker, LMSW
• Brandy Je'Vonne Flynn, M.S.
• Nicky Andrew Fong, D.D.S.
• Debra Forbes
• Darius Ford

• General Practice Dentistry in Cordova, TN
• Providers in Cordova, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.