East Ridge Family Dental

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EAST RIDGE FAMILY DENTAL

Practice address

3823 Ringgold Rd
East Ridge, TN 37412-1639

Phone

(423) 629-6015

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sally Carruthers

Title

Office Manager

Phone

(423) 629-6015

Specialties & licenses 1

Addresses

Locations

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.

• Curtis L Carruthers, DDS

  • General Practice Dentistry
  • Chattanooga, TN
  • NPI 1861582876

  Single Specialty

  NPD

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1730778044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 RINGGOLD RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374121639",
            "telephone_number": "423-629-6015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 RINGGOLD RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374121639",
            "telephone_number": "423-629-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RIDGE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "CARRUTHERS",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-629-6015"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Kay Dodd, APRN
• DT Transportation (Lakisha Percy)
• Liliya Aleksandrovna Dundiy
• Patrick Marsh Durham, PHARM. D
• Bruce E Dyer Sr., APN
• East Ridge SNF Operations, LLC (Life Care Center of East Ridge)
• Focus on Fuction, Inc.
• Frazier Transportation LLC
• John Mark Frazier
• Yulonda Mashell Garth

• Dentist in East Ridge, TN
• Providers in East Ridge, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.