Active NPI
Southern Smiles PLLC
- Dentist
- Lewisburg, TN
National Provider Identifier
1720449572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9005
- Legal business name
- SOUTHERN SMILES PLLC
- Practice address
- 553 W Commerce St
Lewisburg, TN 37091-3219 - Phone
- (931) 359-1900
- Fax
- (931) 359-9774
- NPI assigned
- Mar 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Jeanette K Truelove
- Title
- Admin
- Phone
- (931) 359-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9005 | TN | Primary |
Addresses
Primary practice location
553 W Commerce St
Lewisburg, TN 37091-3219
Mailing address
553 W Commerce St
Lewisburg, TN 37091-3219
Phone (931) 359-1900
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Lewisburg, TN
- NPI 1427788199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457395200000",
"number": "1720449572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 W COMMERCE ST",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370913219",
"telephone_number": "931-359-1900",
"fax_number": "931-359-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "553 W COMMERCE ST",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370913219",
"telephone_number": "931-359-1900",
"fax_number": "931-359-9774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN SMILES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-08",
"last_updated": "2016-03-08",
"status": "A",
"authorized_official_last_name": "TRUELOVE",
"authorized_official_first_name": "JEANETTE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "931-359-1900",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TN",
"license": "9005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, TN
- Shannon Leah Smith, LMSW
- Todd C Smith, DC
- Jonathan Reid Snavely, DC
- Nageh Soliman
- South Medical Clinic LLC
- Shelby Sowden, PTA
- State of Tennessee (Marshall County Health Department)
- Hayley L Steely
- Sterling Emergency Services of the Midwest, Inc (Ellington Emergency Department Services)
- Taylor Nichole Sullivan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.