Trevor Tindle, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3796-15 Issued in MS

Practice address

1021 Gluckstadt Rd Ste 100
Madison, MS 39110-9456

Phone

(769) 567-2800

NPI assigned

Aug 5, 2015

Last updated

Jan 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tindle Family Dentistry PA

  • Dentist
  • Madison, MS
  • NPI 1013631571
  NPD Authorized official
• Tillery Dental Clinics, P.a.

  • General Practice Dentistry
  • Laurel, MS
  • NPI 1376656041
  NPD (past)

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1689050262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 GLUCKSTADT RD STE 100",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102668",
            "telephone_number": "769-567-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 GLUCKSTADT RD STE 100",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109456",
            "telephone_number": "769-567-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINDLE",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MS",
            "license": "3796-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gena Marie Thompson, FNP-C
• Rachel Virginia Thompson
• Shelby Shields Thrash, OTR/L, CLT
• Thrive Speech Therapy, LLC.
• Tindle Family Dentistry PA
• Linda Tippett, LCSW
• Anne Elaine Toles, LPC
• Top Tier Therapy & Psychiatry
• Brian Scott Torrey, M.D.
• Total Healthcare Solutions LLC

• Dentist in Madison, MS
• Providers in Madison, MS by specialty
• Dentist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.