Phyllis Dickinson-Branch

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PHYLLIS DICKINSON-BRANCH

Doing business as

Somerville Family Dentistry

Practice address

17395 US Highway 64
Somerville, TN 38068-6162

Phone

(901) 466-9833

Fax

(901) 466-9834

NPI assigned

Feb 13, 2024

Last updated

Feb 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pyllis A Dickinson-Branch, DDS

Title

Dentist/Owner

Phone

(901) 466-9833

Specialties & licenses 1

Addresses

Other names 1

• Somerville Family Dentistry Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Phyllis A Dickinson-Branch, DDS

  • General Practice Dentistry
  • Collierville, TN
  • NPI 1700905080
  NPD

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1649034281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17395 US HIGHWAY 64",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380686162",
            "telephone_number": "901-466-9833",
            "fax_number": "901-466-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17395 US HIGHWAY 64",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380686162",
            "telephone_number": "901-466-9833",
            "fax_number": "901-466-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYLLIS DICKINSON-BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "DICKINSON-BRANCH",
        "authorized_official_first_name": "PYLLIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "901-466-9833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerville Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Scates M.D. Family Medicine
• Lydia Perkins, M.A., CCC-SLP
• Jessica Lynn Perry, RN
• Anna Petrie, PA-C
• Stacey Lynn Phillips, MSN, FNP
• Madison Pierski, PA
• Pamela C Pierski, FNP
• Professional Care Services of West TN Inc (JB Summers Counseling Center)
• Professional Care Services of West TN, Inc.
• Professional Imaging of Tennessee

• General Practice Dentistry in Somerville, TN
• Providers in Somerville, 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 Feb 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.