South College of TN, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTH COLLEGE OF TN, LLC

Practice address

616 Marriott Dr
Nashville, TN 37214-5048

Phone

(629) 802-3221

NPI assigned

Jan 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Denise Lynn Terese-Koch, DDSNPI 1629172671

Title

Chair of the Dept of Dental Educ

Phone

(629) 802-3221

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.

• Denise Lynn Terese-Koch, DDS

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1629172671
  NPD Authorized official

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1427522945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 MARRIOTT DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372145048",
            "telephone_number": "629-802-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 MARRIOTT DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372145048",
            "telephone_number": "629-802-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COLLEGE OF TN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "TERESE-KOCH",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHAIR OF THE DEPT OF DENTAL EDUC",
        "authorized_official_telephone_number": "629-802-3221",
        "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": []
}

• Soule Hair and Beauty
• Alyssa Soule, APRN FNP-C
• Katharine Noble Sourbeer
• Nadia Souri
• Bounchanh Souriyavong, PHARMD
• South Nashville Dental Associates, PLLC
• Barry Keith South, DC
• Elizabeth Noelle Southards
• Southcrest Clinic, P. C.
• Southeast Addiction Center Nashville LLC

• Dental Clinic/Center in Nashville, TN
• Providers in Nashville, 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 Jan 17, 2019; 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.