TBS Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TBS DENTAL PLLC

Practice address

8153 New la Grange Rd Ste 101
Louisville, KY 40222-4680

Phone

(502) 882-1243

NPI assigned

Oct 17, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Tasneem Bijli Syeda, DMDNPI 1164152369

Title

Founder & Dentist

Phone

(502) 882-1243

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Tasneem Bijli Syeda, DMD

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1164152369
  NPD Authorized official

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1447071089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8153 NEW LA GRANGE RD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224680",
            "telephone_number": "502-882-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8153 NEW LA GRANGE RD STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224680",
            "telephone_number": "502-882-1243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "SYEDA",
        "authorized_official_first_name": "TASNEEM",
        "authorized_official_middle_name": "BIJLI",
        "authorized_official_title_or_position": "FOUNDER & DENTIST",
        "authorized_official_telephone_number": "502-882-1243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100898700",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina M Taylor, LCSW, LMFT
• Tracey Taylor, MFTA
• Victoria Taylor, PHARMD
• TBD Acquisition LLC
• TBD Acquisition, LLC
• TD Ky One LLC
• TDS Ky Five
• TDS Ky Four, LLC
• TDS Ky Two
• Jessica Teachout, RN

• General Practice Dentistry in Louisville, KY
• Providers in Louisville, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.