Organization Active NPI

Smyrna Dental Group

  • General Practice Dentistry
  • Smyrna, TN
National Provider Identifier
1265720197
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS4384 Issued in TN
Legal business name
SMYRNA DENTAL GROUP
Practice address
1336 Hazelwood Dr
Smyrna, TN 37167-3958
Phone
(615) 355-6800
NPI assigned
Jul 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Kevin D Gurley, DDS
Title
Proprietor
Phone
(615) 355-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS4384 TN Primary

Addresses

Primary practice location

1336 Hazelwood Dr
Smyrna, TN 37167-3958

Mailing address

1336 Hazelwood Dr
Smyrna, TN 37167-3958
Phone (615) 355-6800

National Provider Directory

National Provider Directory

Locations

1336 Hazelwood Dr
Smyrna, TN 37167
Phone (615) 355-3800

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1265720197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 HAZELWOOD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673958",
            "telephone_number": "615-355-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 HAZELWOOD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673958",
            "telephone_number": "615-355-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYRNA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "615-355-6800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.