Shine Pediatric Dentistry and Orthodontics, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SHINE PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC

Practice address

1921 Nashville Pike Ste 200
Gallatin, TN 37066-5259

Phone

(314) 306-0003

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael John Seelig, DMD, MSNPI 1801423710

Title

President

Phone

(314) 306-0003

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Michael John Seelig, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clarksville, TN
  • NPI 1801423710
  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1194591875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CREIGHTON AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372062204",
            "telephone_number": "314-306-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 NASHVILLE PIKE STE 200",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370665259",
            "telephone_number": "314-306-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "SEELIG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-306-0003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Shackleford
• Jonathan David Shadburne, DMD
• Anas Khalid Shaltaf, PA-C
• Gerri Shehane
• Keenan Shimo
• Ryan Shinska, DDS
• Dianna L Shipley, MD
• Megan Shipley, SLP-CCC
• Jordan J. Shirley, DO
• Karen Shoulders

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.