Davis Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DAVIS DENTAL, PLLC

Practice address

401 Deery St
Shelbyville, TN 37160-3405

Phone

(931) 684-1882

Fax

(931) 684-1883

NPI assigned

Jun 24, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Shelby A Atwood

Title

Office Manager

Phone

(931) 684-1882

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jay Gibson Davis, D.D.S.

  • Dentist
  • Shelbyville, TN
  • NPI 1245212034
  NPD (past)
• Dianne Blanton Watson, D.D.S.

  • Dentist
  • Shelbyville, TN
  • NPI 1447546320
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245801600000",
    "number": "1164650545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DEERY ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603405",
            "telephone_number": "931-684-1882",
            "fax_number": "931-684-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DEERY ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603405",
            "telephone_number": "931-684-1882",
            "fax_number": "931-684-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A",
        "authorized_official_last_name": "ATWOOD",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-684-1882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale Hasty
• Brooke Dangerfield, M.S.
• Jeff Daugherty
• Susan Kinard Davenport
• Matthew Gabe Davidson, DO
• Allison Elizabeth Davis
• Jay Gibson Davis, D.D.S.
• Amber Dawson, RN
• Alexis Y De la Paz-Tavera
• Mindy Deal, PHARMD

• All providers in Shelbyville, TN
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.