Organization Active NPI

Gentle Dental, PLLC

  • Dental Clinic/Center
  • Memphis, TN
National Provider Identifier
1124237482
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
0000007671 Issued in TN
Legal business name
GENTLE DENTAL, PLLC
Practice address
670 Colonial Rd
Suite # 6
Memphis, TN 38117-5160
Phone
(901) 537-0077
Fax
(901) 537-0088
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marrio Thomas, D.D.SNPI 1477569192
Title
Provider
Phone
(901) 537-0077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 0000007671 TN Primary

Addresses

Primary practice location

670 Colonial Rd
Suite # 6
Memphis, TN 38117-5160

Mailing address

670 Colonial Rd
Suite # 6
Memphis, TN 38117-5160
Phone (901) 537-0077

National Provider Directory

National Provider Directory

Locations

670 Colonial Rd
Ste 6
Memphis, TN 38117
Phone (901) 537-0077

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124237482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 COLONIAL RD",
            "address_2": "SUITE # 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175160",
            "telephone_number": "901-537-0077",
            "fax_number": "901-537-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 COLONIAL RD",
            "address_2": "SUITE # 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175160",
            "telephone_number": "901-537-0077",
            "fax_number": "901-537-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARRIO",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "901-537-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "0000007671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.