NPIMap

Organization Active NPI

Life Dental Tennessee PLLC

  • General Practice Dentistry
  • Smyrna, TN
National Provider Identifier
1720903008
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIFE DENTAL TENNESSEE PLLC
Practice address
100 Mayfield Dr
Smyrna, TN 37167-3017
Phone
(615) 459-3366
NPI assigned
Aug 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Lauren S Daigneault
Title
Administrative & Revenue Cycle Dire
Phone
(662) 550-2310

Specialties & licenses 1

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

Addresses

Primary practice location

100 Mayfield Dr
Smyrna, TN 37167-3017

Mailing address

100 Mayfield Dr
Smyrna, TN 37167-3017
Phone (615) 459-3366

Other names 1

  • Smyrna Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Life Dental Tennessee PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1720903008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAYFIELD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673017",
            "telephone_number": "615-459-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAYFIELD DR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673017",
            "telephone_number": "615-459-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE DENTAL TENNESSEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATIVE & REVENUE CYCLE DIRE",
        "authorized_official_telephone_number": "662-550-2310"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smyrna Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, TN

Sources for this page

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