Smyrna Family Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS9797 Issued in TN

Legal business name

SMYRNA FAMILY DENTISTRY PLLC

Practice address

1450 Sam Davis Rd Ste 120
Smyrna, TN 37167-2754

Phone

(615) 459-6974

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Paola Ramos

Title

Credentialing Coordinator

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David J Dudzinski, DDS

  • General Practice Dentistry
  • Smyma, TN
  • NPI 1568456994
  NPD (past)
• Willilam M Nash, D.D.S

  • General Practice Dentistry
  • Smyrna, TN
  • NPI 1790995348
  NPD (past)
• Michael C. Patterson, D.D.S.

  • General Practice Dentistry
  • Smyrna, TN
  • NPI 1346477155
  NPD (past)

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1366939340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 SAM DAVIS RD STE 120",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371672754",
            "telephone_number": "615-459-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYRNA FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS9797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smyrna Care Center
• Smyrna Chiropractic Clinic
• Smyrna Dental Group
• Smyrna Drug LP
• Smyrna Drug LP
• Smyrna Medical Group LLC
• Smyrna Modern Dentistry, PC
• Smyrna Pain Consultants, P.C.
• Smyrna Pediatrics and Family Medicine
• Smyrna Pediatrics PLLC

• General Practice Dentistry in Smyrna, TN
• Providers in Smyrna, 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 Apr 2, 2024; 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.