Organization Active NPI

Southern Smiles Dentistry,LLC

  • General Practice Dentistry
  • Dickson, TN
National Provider Identifier
1659735801
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS4678 Issued in TN
Legal business name
SOUTHERN SMILES DENTISTRY,LLC
Practice address
304 E College St
Dickson, TN 37055-1860
Phone
(615) 446-4967
Fax
(615) 446-8530
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Dr. Jeffrey Darnell Baggett, D.D.S.NPI 1760712574
Title
Sole Member
Phone
(615) 446-4967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS4678 TN Primary

Addresses

Primary practice location

304 E College St
Dickson, TN 37055-1860

Mailing address

304 E College St
Dickson, TN 37055-1860
Phone (615) 446-4967

National Provider Directory

National Provider Directory

Locations

304 E College St
Dickson, TN 37055
Phone (615) 446-4967

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1659735801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E COLLEGE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551860",
            "telephone_number": "615-446-4967",
            "fax_number": "615-446-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E COLLEGE ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551860",
            "telephone_number": "615-446-4967",
            "fax_number": "615-446-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SMILES DENTISTRY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "BAGGETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DARNELL",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "615-446-4967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.