Wolf River Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

WOLF RIVER DENTAL PLLC

Practice address

280 German Oak Dr
Cordova, TN 38018-7220

Phone

(901) 753-9005

NPI assigned

Oct 2, 2026

Last updated

Oct 2, 2026By 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

Amanda Lightfoot

Title

Director of Payer Relations

Phone

(214) 702-0708

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1750295903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 DALLAS PKWY STE 950",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 GERMAN OAK DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187220",
            "telephone_number": "901-753-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF RIVER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "214-702-0708"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katey Christine Wingo, P.T., D.P.T
• Darlene Poe Winters, SPEECH-LANGUAGE PATH
• Charles Winton Jr., MASTERS
• Brittany Chinn Wodowski, PHARM. D
• Wolf River Dental Center PLLC
• Caneshia Wolobah, LMSW
• Catherine Robilio Womack, MD
• Tyshunna Womack
• Amanda Murray Wood, R.D.
• Amanda Nicola Jackson Woodall, PMHNP-BC

• General Practice Dentistry in Cordova, TN
• Providers in Cordova, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.