Tullahoma Dental Group, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

7889 Issued in TN

Legal business name

TULLAHOMA DENTAL GROUP, PLLC

Practice address

1958 N Jackson St
Tullahoma, TN 37388-2204

Phone

(931) 454-0001

NPI assigned

May 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Steven Eric Scallions, D.D.S.

Title

Owner

Phone

(931) 454-0001

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1346474541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 N. JACKSON ST.",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "37388",
            "telephone_number": "931-454-0001",
            "fax_number": "931-454-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882204",
            "telephone_number": "931-454-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULLAHOMA DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "SCALLIONS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-454-0001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "4464",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "7889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald V Tucker, MD
• Rebecca Tucker, SLP-CCC
• Tullahoma Advanced Care Inc.
• Tullahoma Chiropractic and Medical Center
• Tullahoma City Schools
• Tullahoma Dermatology PC
• Tullahoma Drug Store Inc
• Tullahoma Family Dentistry PLLC
• Tullahoma Hma LLC
• Tullahoma Hma LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; 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.