Active NPI
Memphis Dental Studio PLLC
- General Practice Dentistry
- Arlington, TN
National Provider Identifier
1306706619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MEMPHIS DENTAL STUDIO PLLC
- Practice address
- 9755 US Highway 64 Ste 104
Arlington, TN 38002-8395 - Phone
- (901) 902-5335
- NPI assigned
- Nov 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Haneen Matalgah
- Title
- President
- Phone
- (662) 304-7605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
9755 US Highway 64 Ste 104
Arlington, TN 38002-8395
Mailing address
1520 Fairfield Dr
Lebanon, MO 65536-4320
National Provider Directory
National Provider DirectoryLocations
9755 US Highway 64
Ste 104
Arlington, TN 38002
Phone (901) 902-5335
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Arlington, TN
- NPI 1285361113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764720000000",
"number": "1306706619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 FAIRFIELD DR",
"city": "LEBANON",
"state": "MO",
"postal_code": "655364320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9755 US HIGHWAY 64 STE 104",
"city": "ARLINGTON",
"state": "TN",
"postal_code": "380028395",
"telephone_number": "901-902-5335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMPHIS DENTAL STUDIO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-18",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A",
"authorized_official_last_name": "MATALGAH",
"authorized_official_first_name": "HANEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "662-304-7605"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.