Children'S Dentistry of Smyrna

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9204 Issued in TN

Legal business name

CHILDREN'S DENTISTRY OF SMYRNA

Practice address

1540 Rock Springs Rd
Smyrna, TN 37167-6141

Phone

(615) 220-6161

Fax

(615) 220-6116

NPI assigned

Dec 9, 2011

Organization subpart

No

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

Authorized official

Name

Mendy Allen

Title

Credentialing

Phone

(615) 930-3718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1730457326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 PRESIDENTS PLACE",
            "address_2": "SUITE 200",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "37167",
            "telephone_number": "615-220-6161",
            "fax_number": "615-220-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 ROCK SPRINGS RD",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676141",
            "telephone_number": "615-220-6161",
            "fax_number": "615-220-6116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF SMYRNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MENDY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "615-930-3718"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Char, M.D.
• Carey Chatwin
• Kristyona Lashae Chearis
• Mary Gail R Cheatham, DC
• Hannah Evelyn Chilcote
• Children'S Oral Care Offices
• Venkata Krishna Suresh Chitturi, MD
• Christacare, LLC
• Christian Care Center of Rutherford County LLC
• Jade Christopher

• Pediatric Dentistry in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.