Smileaway Family Dentistry, PLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000007987 Issued in TN

Legal business name

SMILEAWAY FAMILY DENTISTRY, PLC

Practice address

694 N Germantown Pkwy
Suite 50
Cordova, TN 38018-6284

Phone

(901) 334-1900

Fax

(901) 334-1911

NPI assigned

May 28, 2015

Last updated

Jan 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Veena V Ammal, DDSNPI 1437147337

Title

Owner

Phone

(901) 334-1900

Specialties & licenses 1

Addresses

Locations

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.

• Veena V Ammal, DDS

  • General Practice Dentistry
  • Cordova, TN
  • NPI 1437147337
  Authorized official Same address or phone

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1407235054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 N GERMANTOWN PKWY",
            "address_2": "SUITE 50",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186284",
            "telephone_number": "901-334-1900",
            "fax_number": "901-334-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 N GERMANTOWN PKWY",
            "address_2": "SUITE 50",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186284",
            "telephone_number": "901-334-1900",
            "fax_number": "901-334-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILEAWAY FAMILY DENTISTRY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "AMMAL",
        "authorized_official_first_name": "VEENA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-334-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000007987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Cordova, TN
• Providers in Cordova, 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, 2017; 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.