Sie Investment Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8779 Issued in TN

Legal business name

SIE INVESTMENT GROUP LLC

Practice address

2395 New Salem Hwy
Suite L
Murfreesboro, TN 37128-5254

Phone

(615) 907-3456

Fax

(615) 907-3848

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark Allen Connolly, D.D.S.NPI 1730361015

Title

President

Phone

(615) 907-3456

Specialties & licenses 1

Addresses

Other names 1

• Three Rivers Family Dentistry Doing business as

Locations

Practitioners 1

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

• Mark Allen Connolly, D.D.S.

  • Dentist
  • Murfreesboro, TN
  • NPI 1730361015
  NPD (past) Authorized official

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1477880490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 NEW SALEM HWY",
            "address_2": "SUITE L",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285254",
            "telephone_number": "615-907-3456",
            "fax_number": "615-907-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 NEW SALEM HWY",
            "address_2": "SUITE L",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285254",
            "telephone_number": "615-907-3456",
            "fax_number": "615-907-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIE INVESTMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-907-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Favian S Short Chunn
• Margaret Showalter, APN
• Shrinkty Medical Services, LLC
• Karen Regina Shubert, R.N.
• Emma Mercedes Shupp, FNP
• Leslie Erin Siegfried, DDS
• Amber Lynn Sifuentes, DMD
• Vanessa L Sikora
• Michael Ian Silberman, DO
• Silver Hill Medical Clinic

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.