Purfixsmile Dental, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8726 Issued in TN

Legal business name

PURFIXSMILE DENTAL, INC

Practice address

9245 Poplar Ave
8-161
Germantown, TN 38138-7931

Phone

(901) 414-0350

NPI assigned

Jan 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Philip Carter, DDS

Title

Ceo/Dentisit

Phone

(901) 414-0350

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Purfixsmile Dental Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Purfixsmile Dental

  • General Practice Dentistry
  • Germantown, TN
  • NPI 1265603179
  NPD tax ID
• Purfixsmile Dental Inc

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1386975860
  NPD tax ID

Locations

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1154569663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 POPLAR AVE",
            "address_2": "8-161",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 POPLAR AVE",
            "address_2": "8-161",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387931",
            "telephone_number": "901-414-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURFIXSMILE DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO/DENTISIT",
        "authorized_official_telephone_number": "901-414-0350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5442018",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miguel Pulido, DDS
• Pulliam Counseling & Coaching
• Sarah Ann Varnadoe Pulliam, FNP
• Rhonda Purdy, RPH
• Purfixsmile Dental
• Gretchen Purkey, APRN
• Marcy C Purnell, FNP-C
• Bianca M Puryear, PTA
• Faiza Iman Qadir, CCC-SLP
• Holly Hansom Quarles, P.T.

• General Practice Dentistry in Germantown, TN
• Providers in Germantown, 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 Nov 2, 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.