Smile for US Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE FOR US DENTISTRY PLLC

Practice address

1331 Union Ave Ste 1225
Memphis, TN 38104-7551

Phone

(901) 276-7314

Fax

(901) 276-6028

NPI assigned

Apr 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Cornell Brooks, DDS

Title

President

Phone

(901) 276-7314

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1760237283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1225",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047551",
            "telephone_number": "901-276-7314",
            "fax_number": "901-276-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1225",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047551",
            "telephone_number": "901-276-7314",
            "fax_number": "901-276-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE FOR US DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CORNELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-276-7314",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Small, LMSW
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• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.