McMinnville Smiles, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

9694 Issued in TN

Legal business name

MCMINNVILLE SMILES, PLLC

Practice address

100 Morrison St
McMinnville, TN 37110-2420

Phone

(931) 473-8506

NPI assigned

Aug 17, 2017

Organization subpart

No

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

Authorized official

Name

Charlie Dallas Manning IV, DDS

Title

Sole Owner

Phone

(931) 728-4143

Specialties & licenses 1

Addresses

Other names 1

• Dennis K. Jeter, D.D.S. Former legal business name

Locations

Practitioners 2

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

• Dennis Kern Jeter, D.D.S.

  • General Practice Dentistry
  • MC Minnville, TN
  • NPI 1871610691
  NPD (past)
• Benjamin Charles Spaulding Jr., DDS

  • General Practice Dentistry
  • Manchester, TN
  • NPI 1205945078
  NPD (past)

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502928000000",
    "number": "1609392075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552454",
            "telephone_number": "931-728-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MORRISON ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102420",
            "telephone_number": "931-473-8506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCMINNVILLE SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2017-08-17",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "DALLAS",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "931-728-4143",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "9694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dennis K. Jeter, D.D.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• McMinnville Drug Center Inc (McMinnville Drug Center)
• McMinnville Manor Opco LLC
• McMinnville Pain Relief Center
• McMinnville Physical Therapy, LLC
• McMinnville Recovery Center (A.M.C. of McMinnville)
• McMinnville TN Opco LLC (Willow Branch Health and Rehabilitation)
• Jeffrey K McVey, DO
• Christy Medley, RN
• Heather Dian Meeks, PTA
• Dennis William Merski, D.O.

• Dentist in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2017; 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.