Premium Care Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

3438 Issued in TN

Legal business name

PREMIUM CARE DENTISTRY

Practice address

1331 Union Ave Ste 1240
Memphis, TN 38104-7552

Phone

(901) 730-1321

Fax

(901) 730-1382

NPI assigned

Nov 25, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Joe D O'Neal, DDS

Title

Owner

Phone

(901) 730-1321

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1336513597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 UNION AVENUE #1240",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047551",
            "telephone_number": "901-730-1321",
            "fax_number": "901-730-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1240",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047552",
            "telephone_number": "901-730-1321",
            "fax_number": "901-730-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIUM CARE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-730-1321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "3438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225297",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Tennessee Medical PC
• Premise Health of Tennessee Medical PC
• Premise Health of Tennessee Medical PC
• Premise Health of Tennessee Medical, P.C
• Premise Health of Tennessee Medical, P.C
• Premium Transportation
• Richard Brett Prentiss, DPT
• Gerald Johnson Presbury, M.D
• Noelle Anne Prescott, MD
• Chaela Presley, PHARM.D.

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.