Elite Dental Germantown PLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS009456 Issued in TN

Legal business name

ELITE DENTAL GERMANTOWN PLC

Practice address

9064 Corporate Gradens Drive
Germantown, TN 38138

Phone

(731) 855-1053

Fax

(731) 855-8064

NPI assigned

Apr 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Michael Ryan Farrar, DDS

Title

Owner/ Dentist

Phone

(731) 855-1053

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1124552401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9064 CORPORATE GRADENS DRIVE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "731-855-1053",
            "fax_number": "731-855-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9064 CORPORATE GRADENS DRIVE",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "731-855-1053",
            "fax_number": "731-855-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL GERMANTOWN PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "731-855-1053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS009456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathon Scott Egbert, D.D.S.
• Ellen Schlossberg Eisen, LCSW
• Alan D Eisenberg, M.D.
• Constance Elam, OT
• Yasmeen Elaskary
• Claire C Ellender, PAC
• Kathryn Ellis
• Richard Alan Ellis, M.D.
• Stacy Ellis, CFNP
• Adam Christopher Elnaggar, MD

• Dentist in Germantown, TN
• Providers in Germantown, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.