Active NPI
Mid-South TMJ & Sleep Apnea Dental Treatment Ctr LLC
- General Practice Dentistry
- Memphis, TN
National Provider Identifier
1386454585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MID-SOUTH TMJ & SLEEP APNEA DENTAL TREATMENT CTR LLC
- Practice address
- 795 Ridge Lake Blvd Ste 106
Memphis, TN 38120-9475 - Phone
- (901) 468-7088
- Fax
- (901) 221-2280
- NPI assigned
- Jan 9, 2025
- Last updated
- Jan 7, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Elizabeth Graham Mitchell
- Title
- Dentist, Owner
- Phone
- (901) 468-7088
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU |
Addresses
Primary practice location
795 Ridge Lake Blvd Ste 106
Memphis, TN 38120-9475
Mailing address
795 Ridge Lake Blvd Ste 106
Memphis, TN 38120-9475
Phone (901) 468-7088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260318004068 | TN | DME Supplier - Oral Surgery - Dentist | 6204310105 | Practice locations: Memphis, TN |
National Provider Directory
National Provider DirectoryLocations
795 Ridge Lake Blvd
Ste 106
Memphis, TN 38120
Phone (901) 468-7088
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Memphis, TN
- NPI 1770711384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767744000000",
"number": "1386454585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 RIDGE LAKE BLVD STE 106",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209475",
"telephone_number": "901-468-7088",
"fax_number": "901-221-2280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 RIDGE LAKE BLVD STE 106",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209475",
"telephone_number": "901-468-7088",
"fax_number": "901-221-2280"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID-SOUTH TMJ & SLEEP APNEA DENTAL TREATMENT CTR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-09",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "GRAHAM",
"authorized_official_title_or_position": "DENTIST, OWNER",
"authorized_official_telephone_number": "901-468-7088",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Mid-South Nemt Services
- Mid-South Nephrology Consultants PLLC
- Mid-South OB-GYN PLLC
- Mid-South Pulmonary Specialists PC
- Mid-South Retina Associates, LLC
- Mid-South Transportation Services
- Mid-South Vascular Physicians PLLC
- Mid-Town Internal Medicine, PLLC
- Erin Catherine Middleton
- Matthew Alan Middleton, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.