Active NPI
Soh of Tennessee Specialty LLC
- Pediatric Dentistry
- Franklin, TN
National Provider Identifier
1447953245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SOH OF TENNESSEE SPECIALTY LLC
- Practice address
- 330 Mayfield Dr Ste A14
Franklin, TN 37067-7210 - Phone
- (636) 362-4986
- NPI assigned
- Mar 22, 2023
- Organization subpart
- Yes
- Parent organization
- SOH OF TENNESSEE SPECIALTY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashly Sunshine
- Title
- Credentialing
- Phone
- (636) 362-4986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
330 Mayfield Dr Ste A14
Franklin, TN 37067-7210
Mailing address
1422 Elbridge Payne Rd Ste 240
Chesterfield, MO 63017-8544
Phone (636) 362-4986
Other names 1
- Little Smiles of Franklin
National Provider Directory
National Provider Directory- Tax ID family
- Soh of Tenneessee Specialty LLC
- Part of
- Soh of Tenneessee Specialty LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Franklin, TN
- NPI 1477253268
Locations
330 Mayfield Dr
Ste A14
Franklin, TN 37067
Phone (615) 471-7897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1447953245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 ELBRIDGE PAYNE RD STE 240",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630178544",
"telephone_number": "636-362-4986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 MAYFIELD DR STE A14",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677210",
"telephone_number": "636-362-4986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOH OF TENNESSEE SPECIALTY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOH OF TENNESSEE SPECIALTY LLC",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-21",
"status": "A",
"authorized_official_last_name": "SUNSHINE",
"authorized_official_first_name": "ASHLY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "636-362-4986"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Little Smiles of Franklin",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.