Regional Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

TNDDS#7889 Issued in TN

Legal business name

REGIONAL DENTAL ASSOCIATES

Practice address

51 Stonebridge Blvd.
Jackson, TN 38305

Phone

(731) 215-2222

Fax

(731) 215-1664

NPI assigned

Dec 2, 2009

Organization subpart

No

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

Authorized official

Name

Steven Eric Scallions, DDS

Title

Owner of Affordable Dental and Dent

Phone

(731) 215-2222

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Affordable Dental & Denture LLC Former legal business name

Locations

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1508194515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 STONEBRIDGE BLVD.",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-215-2222",
            "fax_number": "731-215-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 STONEBRIDGE BLVD.",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "38305",
            "telephone_number": "731-215-2222",
            "fax_number": "731-215-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "SCALLIONS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "OWNER OF AFFORDABLE DENTAL AND DENT",
        "authorized_official_telephone_number": "731-215-2222",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8971",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "TNDDS#7889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1501444",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513465",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518060",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dental & Denture LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Rebecca J Reed
• Cynthia L Reedy, LCSW
• Veldon Flynn Reedy, L.C.S.W.
• Debra Reese Hill
• Regional Cardiology Consultants, PC
• Regional Heart & Vein Clinic, PLLC
• Paul R Reilly, PT
• Adam David Reinhard
• Amanda Reiter, MD
• Jonathan Renfroe, PHARM.D.

• General Practice Dentistry in Jackson, TN
• Providers in Jackson, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.