NPIMap

Organization Active NPI

The Dental Edge of Smyrna

  • General Practice Dentistry
  • Smyrna, TN
National Provider Identifier
1497040901
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7885 Issued in TN
Legal business name
THE DENTAL EDGE OF SMYRNA
Practice address
741 President PL
Suite 120
Smyrna, TN 37167-6807
Phone
(615) 220-6990
Fax
(615) 220-6119
NPI assigned
Jun 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Authorized official

Name
Mr. Dee Northcutt
Title
Manager
Phone
(615) 220-6990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7885 TN Primary

Addresses

Primary practice location

741 President PL
Suite 120
Smyrna, TN 37167-6807

Mailing address

741 President PL
Suite 120
Smyrna, TN 37167-6807
Phone (615) 220-6990

Other names 1

  • Cedar Grove Dentistry Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cedar Grove Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1497040901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL",
            "address_2": "SUITE 120",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676807",
            "telephone_number": "615-220-6990",
            "fax_number": "615-220-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL",
            "address_2": "SUITE 120",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676807",
            "telephone_number": "615-220-6990",
            "fax_number": "615-220-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL EDGE OF SMYRNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "NORTHCUTT",
        "authorized_official_first_name": "DEE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-220-6990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Grove Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.