NPIMap

Organization Active NPI

Soh of Tenneessee PLLC

Doing business as Myers Family Dentistry

  • General Practice Dentistry
  • Clinton, TN
National Provider Identifier
1689374845
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SOH OF TENNEESSEE PLLC
Doing business as
Myers Family Dentistry
Practice address
101 Market PL
Clinton, TN 37716-3751
Phone
(865) 457-3211
NPI assigned
Mar 7, 2023
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOH OF TENNEESSEE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Ashly Sunshine
Title
Credentialing
Phone
(636) 362-4986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

101 Market PL
Clinton, TN 37716-3751

Mailing address

1190 Meramec Station Rd Ste 110
Ballwin, MO 63021-6902
Phone (636) 362-4986

Other names 1

  • Myers Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Soh of Tennessee PLLC5 organizations share this tax ID, including this one
Part of
Soh of Tennessee PLLC

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Market Pl
Clinton, TN 37716
Phone (865) 457-3211

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1689374845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 MERAMEC STATION RD STE 110",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216902",
            "telephone_number": "636-362-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARKET PL",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163751",
            "telephone_number": "865-457-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOH OF TENNEESSEE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOH OF TENNEESSEE PLLC",
        "enumeration_date": "2023-03-07",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "SUNSHINE",
        "authorized_official_first_name": "ASHLY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "636-362-4986"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myers Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; 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.