Organization Active NPI

Signature Smiles Family Dentistry

  • Dentist
  • Smyrna, TN
National Provider Identifier
1114464062
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS4682 Issued in TN
Legal business name
SIGNATURE SMILES FAMILY DENTISTRY
Practice address
1932 Almaville Rd
Suite 105
Smyrna, TN 37167-4404
Phone
(615) 462-6703
Fax
(615) 462-6704
NPI assigned
Jan 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Julie Anne Poley
Title
Office Manager
Phone
(615) 462-6703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS4682 TN Primary

Addresses

Primary practice location

1932 Almaville Rd
Suite 105
Smyrna, TN 37167-4404

Mailing address

1932 Almaville Rd
Suite 105
Smyrna, TN 37167-4404
Phone (615) 462-6703

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1114464062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALMAVILLE RD",
            "address_2": "SUITE 105",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674404",
            "telephone_number": "615-462-6703",
            "fax_number": "615-462-6704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALMAVILLE RD",
            "address_2": "SUITE 105",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674404",
            "telephone_number": "615-462-6703",
            "fax_number": "615-462-6704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "POLEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-462-6703"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS4682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.