Ac Dental of Tennessee, PLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8761 Issued in TN

Legal business name

AC DENTAL OF TENNESSEE, PLC

Practice address

5126 Summer Ave
Suite 101
Memphis, TN 38122-4408

Phone

(901) 818-1990

Fax

(901) 818-1991

NPI assigned

Jul 14, 2009

Last updated

Jul 14, 2009By 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

Gagan Uppal, DMD

Title

Dentist/Owner

Phone

(901) 818-1990

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Michael Edward Solomon, DDS

  • Dentist
  • Memphis, TN
  • NPI 1093952269
  NPD (past)
• Mahboubeh Sayed Taghavi, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1508988254
  NPD (past)

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1336378272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 SUMMER AVE",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224408",
            "telephone_number": "901-818-1990",
            "fax_number": "901-818-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 SUMMER AVE",
            "address_2": "SUITE 101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224408",
            "telephone_number": "901-818-1990",
            "fax_number": "901-818-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AC DENTAL OF TENNESSEE, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "GAGAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "901-818-1990",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "8761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bailey Accardo
• Dwayne Accardo, CRNA, DNP
• Stephanie Accardo, CRNA

• Dental Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.