Organization Active NPI

Periodontics & Implant Dentistry of Middle Tennessee

  • Periodontics
  • Murfreesboro, TN
National Provider Identifier
1497626683
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIODONTICS & IMPLANT DENTISTRY OF MIDDLE TENNESSEE
Practice address
1255 N Highland Ave
Murfreesboro, TN 37130-2452
Phone
(615) 890-7186
Fax
(615) 624-8210
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Steve R Daniel, DDS
Title
Owner
Phone
(615) 890-7186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

1255 N Highland Ave
Murfreesboro, TN 37130-2452

Mailing address

1255 N Highland Ave
Murfreesboro, TN 37130-2452
Phone (615) 890-7186

National Provider Directory

National Provider Directory

Locations

1255 N Highland Ave
Murfreesboro, TN 37130
Phone (615) 890-1634

Practitioners & affiliated clinicians

Practitioners 1

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": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1497626683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 N HIGHLAND AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302452",
            "telephone_number": "615-890-7186",
            "fax_number": "615-624-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 N HIGHLAND AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302452",
            "telephone_number": "615-890-7186",
            "fax_number": "615-624-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTICS & IMPLANT DENTISTRY OF MIDDLE TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-890-7186",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.