Secure Dental XII LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SECURE DENTAL XII LLC

Doing business as

Secure Dental Murfreesboro

Practice address

804 N Thompson LN # 1A1B
Murfreesboro, TN 37129-4337

Phone

(309) 606-5008

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nazish Jafri, DDS

Title

Dentist

Phone

(815) 708-2762

Specialties & licenses 1

Addresses

Other names 1

• Secure Dental Murfreesboro Doing business as

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1376325985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 RIVERSIDE DR",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112068",
            "telephone_number": "309-606-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N THOMPSON LN # 1A1B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294337",
            "telephone_number": "309-606-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE DENTAL XII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "NAZISH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-708-2762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Secure Dental Murfreesboro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Secure Dental Murfreesboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela F. Scrivens, RN
• Hannah Scudder
• Adam Michael Seal, MD
• Peter Joseph Sears, MD
• Hope Craig Seay, M.ED., LPC-MHSP
• Abdelrahman Mohamed Sedik, DDS
• Boules N Sedrak II
• Katreen Sedrak
• Sandy Seedhom, RBT
• Tracy Lee Seely, MPT

• Dental Clinic/Center in Murfreesboro, TN
• Providers in Murfreesboro, 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 Jun 28, 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.