Organization Active NPI

Complete Dental Care Clinics

  • Dental Clinic/Center
  • Parsons, TN
National Provider Identifier
1295907715
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
COMPLETE DENTAL CARE CLINICS
Practice address
382 Tennessee Ave N
Parsons, TN 38363-2024
Phone
(731) 847-6625
Fax
(731) 847-4628
NPI assigned
Mar 25, 2008
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Dr. Mark Edward Holifield, D.M.DNPI 1427108422
Title
Owner
Phone
(731) 847-6625

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

382 Tennessee Ave N
Parsons, TN 38363-2024

Mailing address

382 Tennessee Ave N
Parsons, TN 38363-2024
Phone (731) 847-6625

National Provider Directory

National Provider Directory

Locations

382 Tennessee Ave N
Parsons, TN 38363
Phone (731) 847-6625

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1295907715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 TENNESSEE AVE N",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383632024",
            "telephone_number": "731-847-6625",
            "fax_number": "731-847-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 TENNESSEE AVE N",
            "city": "PARSONS",
            "state": "TN",
            "postal_code": "383632024",
            "telephone_number": "731-847-6625",
            "fax_number": "731-847-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "HOLIFIELD",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-847-6625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsons, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.