Murfreesboro Modern Dentistry, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MURFREESBORO MODERN DENTISTRY, PC

Practice address

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

Phone

(615) 560-1990

NPI assigned

Sep 27, 2017

Organization subpart

No

Name

Joan Thanh To

Title

Owner/DDS

Phone

(949) 835-0406

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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)

Locations

• Murfreesboro Modern Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 14, 2022.

{
    "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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• All providers in Murfreesboro, TN
• 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.