Children'S Dental Center of West Tennessee

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7778 Issued in TN

Legal business name

CHILDREN'S DENTAL CENTER OF WEST TENNESSEE

Practice address

2028 W Poplar Ave
Ste 110
Collierville, TN 38017-0618

Phone

(901) 861-9668

Fax

(901) 861-9582

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Chris Rowland, D.D.S.

Title

Dentist

Phone

(901) 861-9668

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1154350874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 W POPLAR AVE",
            "address_2": "STE 110",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170618",
            "telephone_number": "901-861-9668",
            "fax_number": "901-861-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 W POPLAR AVE",
            "address_2": "STE 110",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380170618",
            "telephone_number": "901-861-9668",
            "fax_number": "901-861-9582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CENTER OF WEST TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "901-861-9668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "7778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3206803",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "4100868",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marolyn M Chambers, APN
• Change Lives Through Education LLC
• Charles E. Young, Jr, DDS
• Sonya Walker Chehardy, D.O.
• Jennifer Childers, PA-C
• Christian Family Solutions of the Mid-South
• Churchwell Pediatric Dentistry
• Caroline H Churchwell, DDS
• Molly M Churchwell, DDS
• Chase Clanton, DPT

• Pediatric Dentistry in Collierville, TN
• Providers in Collierville, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.