Southeastern Dental Associates, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7349 Issued in TN

Legal business name

SOUTHEASTERN DENTAL ASSOCIATES, PC

Practice address

225 Main St
Suite 400
Dayton, TN 37321-1329

Phone

(423) 775-1444

Fax

(423) 775-1103

NPI assigned

Aug 23, 2006

Last updated

Aug 22, 2020By 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. Dennis James Van Meter, DMDNPI 1780790477

Title

President

Phone

(423) 775-1444

Specialties & licenses 1

Addresses

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.

• Dennis James Van Meter, DMD

  • General Practice Dentistry
  • Dayton, TN
  • NPI 1780790477
  Authorized official Same address or phone

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336255058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "address_2": "SUITE 400",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211329",
            "telephone_number": "423-775-1444",
            "fax_number": "423-775-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST",
            "address_2": "SUITE 400",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211329",
            "telephone_number": "423-775-1444",
            "fax_number": "423-775-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VAN METER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-775-1444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Ryan Smith, PHARMD
• Erin Christina Smith
• Larry M. Smith, DDS
• Katherine Sneed, LPN
• Julie Ann Sosebee, SLP
• Southeastern Surgical Specialists
• Cara Sparks, PHARM.D.
• Specialty Medical Services, Inc
• Sport & Spine (OrthoSport and Spine Physical Therapy)
• Stans Compounding Pharmacy (Stan's Compounding Pharmacy, LLC)

• General Practice Dentistry in Dayton, TN
• Providers in Dayton, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.