Organization Active NPI

Dental Practice Group of Tennessee, PLLC

  • Dentist
  • Memphis, TN
National Provider Identifier
1497058788
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL PRACTICE GROUP OF TENNESSEE, PLLC
Practice address
717 S White Station Rd Ste 8
Memphis, TN 38117-4538
Phone
(901) 747-4611
Fax
(901) 747-4636
NPI assigned
Dec 8, 2010
Organization subpart
Yes
Parent organization
DENTAL PRACTICE GROUP OF TENNESSEE, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Mr. Ben Cutler
Title
Secretary
Phone
(770) 796-0382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

717 S White Station Rd Ste 8
Memphis, TN 38117-4538

Mailing address

296 S Main St Ste 300
Alpharetta, GA 30009-1973

Other practice location 1

775 E Brookhaven Cir
Memphis, TN 38117-4501
Phone (901) 582-3100

Other practice location 2

306 E College St
Dickson, TN 37055-1832
Phone (615) 446-2816

Other practice location 3

7640 Highway 70 S Ste 205
Nashville, TN 37221-1758
Phone (615) 646-4382

Other practice location 4

610 Carlton Dr
Owensboro, KY 42303-7709
Phone (270) 683-6623

Other practice location 5

996 Wilkinson Trce Ste B6
Bowling Green, KY 42103-3409
Phone (270) 782-1128

Other practice location 6

410 N Parrish Pl Ste 1000
Hendersonville, TN 37075-1003
Phone (615) 824-1700

Other practice location 7

1360 S Ellington Pkwy
Lewisburg, TN 37091-4324
Phone (931) 359-1993

Other practice location 8

75 Grand Ave
Copperhill, TN 37317-5502
Phone (423) 496-5503

Other practice location 9

625 Morrison Springs Rd
Chattanooga, TN 37415-3401
Phone (423) 305-6400

Other practice location 10

6502B Chapman Hwy
Knoxville, TN 37920-6555
Phone (865) 609-9682

Other practice location 11

2939 Essary Dr Ste 2
Knoxville, TN 37918-2464
Phone (865) 687-1866

Other practice location 12

694 S Willow Ave
Cookeville, TN 38501-3882
Phone (931) 528-5491

Other practice location 13

1421 Armour St
Chattanooga, TN 37412-2812
Phone (423) 624-0511

Other names 14

  • Children's Dentistry of Red Bank Doing business as
  • Dental Partners - Bellevue Doing business as
  • Dental Partners - Bowling Green Doing business as
  • Dental Partners - Brookhaven Doing business as
  • Dental Partners - Cookeville Doing business as
  • Dental Partners - Copperhill Doing business as
  • Dental Partners - Dickson College Doing business as
  • Dental Partners - Fountain City Doing business as
  • Dental Partners - Owensboro Doing business as
  • Dental Partners - South Knoxville Doing business as
  • Dental Partners - White Station Doing business as
  • Dental Pasrtners - East Ridge Doing business as
  • Dental Pertners - Lewisburg Doing business as
  • Just 4 Kids Teeth Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Group of TN3 organizations share this tax ID, including this one
Part of
Dental Group of TN

Other organizations with this tax ID 2

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

Locations

136 4th St N
Ste 201
St Petersburg, FL 33701
Phone (727) 431-2656

996 Wilkinson Trce
Ste B6
Bowling Green, KY 42103
Phone (270) 782-1128

610 Carlton Dr
Owensboro, KY 42303
Phone (270) 683-6623

694 S Willow Ave
Cookeville, TN 38501
Phone (931) 278-6793

306 E College St
Dickson, TN 37055
Phone (615) 446-2816

410 N Parrish Pl
Ste 1000
Hendersonville, TN 37075
Phone (615) 824-1700

6502 Chapman Hwy
Ste B
Knoxville, TN 37920
Phone (865) 609-9682

2939 Essary Dr
Ste 2
Knoxville, TN 37918
Phone (865) 672-6525

717 S White Station Rd
Ste 8
Memphis, TN 38117
Phone (901) 747-4611

Practitioners & affiliated clinicians

Practitioners 12

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": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1497058788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 S MAIN ST STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S WHITE STATION RD STE 8",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174538",
            "telephone_number": "901-747-4611",
            "fax_number": "901-747-4636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 E Brookhaven Cir",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381174501",
            "country_code": "US",
            "telephone_number": "901-582-3100",
            "fax_number": "901-682-9848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 E College St",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370551832",
            "country_code": "US",
            "telephone_number": "615-446-2816",
            "fax_number": "615-446-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7640 Highway 70 S Ste 205",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372211758",
            "country_code": "US",
            "telephone_number": "615-646-4382",
            "fax_number": "615-646-4384",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 Carlton Dr",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423037709",
            "country_code": "US",
            "telephone_number": "270-683-6623",
            "fax_number": "270-688-0658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "996 Wilkinson Trce Ste B6",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421033409",
            "country_code": "US",
            "telephone_number": "270-782-1128",
            "fax_number": "270-282-8910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Parrish Pl Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370751003",
            "country_code": "US",
            "telephone_number": "615-824-1700",
            "fax_number": "615-826-2266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 S Ellington Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "TN",
            "postal_code": "370914324",
            "country_code": "US",
            "telephone_number": "931-359-1993",
            "fax_number": "931-359-7372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Copperhill",
            "state": "TN",
            "postal_code": "373175502",
            "country_code": "US",
            "telephone_number": "423-496-5503",
            "fax_number": "423-496-9963",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Morrison Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374153401",
            "country_code": "US",
            "telephone_number": "423-305-6400",
            "fax_number": "423-305-6419",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6502B Chapman Hwy",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379206555",
            "country_code": "US",
            "telephone_number": "865-609-9682",
            "fax_number": "865-609-9684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2939 Essary Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379182464",
            "country_code": "US",
            "telephone_number": "865-687-1866",
            "fax_number": "865-687-1877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "694 S Willow Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385013882",
            "country_code": "US",
            "telephone_number": "931-528-5491",
            "fax_number": "931-520-0510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 Armour St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374122812",
            "country_code": "US",
            "telephone_number": "423-624-0511",
            "fax_number": "423-629-5278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTAL PRACTICE GROUP OF TENNESSEE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PRACTICE GROUP OF TENNESSEE, PLLC",
        "enumeration_date": "2010-12-08",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "CUTLER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "770-796-0382",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dentistry of Red Bank",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - Bellevue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - Bowling Green",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - Brookhaven",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - Cookeville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - Copperhill",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - Dickson College",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - Fountain City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - Owensboro",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - South Knoxville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Partners - White Station",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Pasrtners - East Ridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dental Pertners - Lewisburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Just 4 Kids Teeth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.