Specialty Dental Services LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

320594194 Issued in TN

Legal business name

SPECIALTY DENTAL SERVICES LLC

Practice address

101 W Railroad Street
Dickson, TN 37055-1335

Phone

(615) 446-2600

Fax

(615) 446-3100

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

John Capps

Title

Owner

Phone

(615) 375-1634

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1629203567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 DYKEMAN RD",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551052",
            "telephone_number": "615-375-1634",
            "fax_number": "615-375-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W RAILROAD STREET",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551335",
            "telephone_number": "615-446-2600",
            "fax_number": "615-446-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-375-1634"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TN",
            "license": "320594194",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532557",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marzena Smith, APRN, FNP-C
• Micah Smith, D.C.
• Randel L Smith, MD
• Kelly L Snyder, LPC-MHSP
• Southern Smiles Dentistry,LLC
• Megan McLain Spencer
• Robert E Spencer, RN FNP
• Victoria Marie Spencer, COTA
• Stuart C Spigel, MD
• Bridgett Nicole Spivey, CPHT

• Health Maintenance Organization in Dickson, TN
• Providers in Dickson, TN by specialty
• Health Maintenance Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.