Murfreesboro Modern Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MURFREESBORO MODERN DENTISTRY, PC

Doing business as

Murfreesboro Modern Dentistry

Practice address

2306 Medical Center Pkwy Ste B5
Murfreesboro, TN 37129-3773

Phone

(615) 560-1990

NPI assigned

Sep 27, 2017

Last updated

Jun 14, 2022By 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

Joan Thanh To

Title

Owner/DDS

Phone

(949) 835-0406

Specialties & licenses 1

Addresses

Other names 1

• Murfreesboro Modern Dentistry Doing business as

Locations

Practitioners 3

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.

• Justin Anderson, DMD

  • General Practice Dentistry
  • Murfreesboro, TN
  • NPI 1760034516
  NPD (past)
• Genie Nkem Ochi

  • Dentist
  • Murfreesboro, TN
  • NPI 1528955986
  NPD (past)
• Sravani Komanduri

  • Dentist
  • Pasadena, TX
  • NPI 1609281062
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1750890265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 MEDICAL CENTER PKWY STE B5",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293773",
            "telephone_number": "615-560-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURFREESBORO MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "949-835-0406"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Murfreesboro Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Murfreesboro Nursing and Rehabilitation Center LLC
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• Murfreesboro Oral Surgery
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• Murfreesboro Pharmaceutical

• Dentist in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.