NPIMap

Organization Active NPI

Life Dental Tennessee PLLC

  • General Practice Physician
  • Nashville, TN
National Provider Identifier
1326914136
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
LIFE DENTAL TENNESSEE PLLC
Practice address
105 Heady Dr
Nashville, TN 37205-4403
Phone
(615) 352-6684
NPI assigned
Oct 17, 2025
Organization subpart
Yes
Parent organization
LIFE DENTAL TENNESSEE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Lauren S Daigneault
Title
Administrative Director
Phone
(662) 550-2310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

105 Heady Dr
Nashville, TN 37205-4403

Mailing address

105 Heady Dr
Nashville, TN 37205-4403
Phone (615) 352-6684

National Provider Directory

National Provider Directory
Tax ID family
Life Dental Tennessee PLLC3 organizations share this tax ID, including this one
Part of
Life Dental Tennessee PLLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1326914136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HEADY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054403",
            "telephone_number": "615-352-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 HEADY DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372054403",
            "telephone_number": "615-352-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DENTAL TENNESSEE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFE DENTAL TENNESSEE PLLC",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "662-550-2310"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.