Southern Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8906 Issued in TN

Legal business name

SOUTHERN FAMILY DENTISTRY

Practice address

2025 S 1St St
Milan, TN 38358-3004

Phone

(731) 686-1151

Fax

(731) 613-2133

NPI assigned

Aug 14, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Nathan David Nash, DDS

Title

Owner

Phone

(731) 686-1151

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534204800000",
    "number": "1477032050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383580163",
            "telephone_number": "731-686-1151",
            "fax_number": "731-613-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 S 1ST ST",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583004",
            "telephone_number": "731-686-1151",
            "fax_number": "731-613-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-686-1151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ann Slayton, APN
• Slayton'S Corner Clinic & Infusion PLLC
• Kendra G Smith, PT,DPT
• Ronica C Smith, MS
• Stephen Reid Snell, M.D.
• Otis W Stanfield, RPH
• Sandra Starr, APN, BC-FNP
• State of Tennessee
• Stevedonna, Inc
• Kaci Sweatt

• All providers in Milan, TN
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; 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.