Upper Cumberland Family Dentistry
Organization Active NPI Dentist · Algood, TN
NPI 1679942155 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1679942155
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 10141 (TN)
- Legal business name
- UPPER CUMBERLAND FAMILY DENTISTRY
- Practice address
- 554 West Main Street
Algood, TN 38506 - Phone
- (931) 537-2254
- Fax
- (931) 537-2312
- NPI assigned
- Sep 15, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Steve E Ellis, DDS
- Title
- President
- Phone
- (931) 823-5517
Corporate family (same tax ID) 1
Practitioners 9
-
Ronda Lee Bohannon, RDH
-
Justin Ryan Ellis, DDS
-
Steven Edward Ellis, D.D.S.
-
Paige Floren, DDS
-
Elizabeth Houston, DDS
-
Emma Grace Mullins, DDS
-
Buckie Dewight Parsons, D.D.S.
-
Buckie Dewight Parsons II, D.D.S.
National Provider Directory
- Tax ID family
- Upper Cumberland Family Dentistry
Locations
554 W Main St
Cookeville, TN 38506
Phone (931) 537-2254
215 Oak St
Livingston, TN 38570
Phone (931) 823-5517
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 10141 | TN | Yes |
Addresses
Primary practice location
554 West Main Street
Algood, TN 38506
Mailing address
215 Oak St
Livingston, TN 38570-1726
Phone (931) 823-5517
Other providers in Algood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.