Genesis Dental, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GENESIS DENTAL, PLLC

Doing business as

Liberty Family Dentistry

Practice address

24 Liberty LN
McMinnville, TN 37110-3362

Phone

(931) 304-8447

NPI assigned

Jul 13, 2022

Last updated

Jul 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Magi Sargious, DDSNPI 1033787742

Title

Dentist/Owner

Phone

(615) 481-7572

Specialties & licenses 1

Addresses

Other names 1

• Liberty Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Magi George Sargious, DDS

  • Dentist
  • Pulaski, TN
  • NPI 1033787742
  NPD Authorized official

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1225762479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6688 NOLENSVILLE RD STE 108-125",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278833",
            "telephone_number": "931-304-8447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 LIBERTY LN",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371103362",
            "telephone_number": "931-304-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "SARGIOUS",
        "authorized_official_first_name": "MAGI",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "615-481-7572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberty Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Garrison, OTR/L
• Generations Health Assoc. Inc. Dba Generations Mental Health Center
• Generations Health Assoc., Inc Dba Generations Mental Health Ctr
• Generations Health Assoc., Inc. Dba Generations Mental Health Center
• Generations Health Assoication, Inc. Dba Generatrions of McMinnville
• Genoa Healthcare LLC
• Genoa Healthcare of Tennessee, LLC
• Cynthia Ann Gibson, COTA
• Tyler Gilley, PA
• Christi H. Gilliam, P.T.

• Dental Clinic/Center in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.