Organization Active NPI

Generational Smiles I Inc.

  • Dentist
  • Memphis, TN
National Provider Identifier
1730499500
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5273 Issued in TN
Legal business name
GENERATIONAL SMILES I INC.
Practice address
6825 Winchester Rd Ste 1a
Memphis, TN 38115-4423
Phone
(901) 509-2353
Fax
(901) 509-2370
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Dr. Jeffery Dolberry, D.D.S
Title
President
Phone
(901) 794-8211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5273 TN Primary

Addresses

Primary practice location

6825 Winchester Rd Ste 1a
Memphis, TN 38115-4423

Mailing address

6825 Winchester Rd Ste 1a
Memphis, TN 38115-4423
Phone (901) 509-2353

National Provider Directory

National Provider Directory

Locations

6825 Winchester Rd
Ste 1A
Memphis, TN 38115
Phone (901) 509-2353

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1730499500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 WINCHESTER RD STE 1A",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154423",
            "telephone_number": "901-509-2353",
            "fax_number": "901-509-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 WINCHESTER RD STE 1A",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154423",
            "telephone_number": "901-509-2353",
            "fax_number": "901-509-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONAL SMILES I INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "DOLBERRY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-794-8211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "5273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.