Dental Edge of Smyrna

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

TN3885 Issued in TN

Legal business name

DENTAL EDGE OF SMYRNA

Practice address

741 President PL
Suite 120
Smyrna, TN 37167-6807

Phone

(615) 310-0022

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Danny Northcutt Jr.

Title

Manager

Phone

(615) 310-0022

Specialties & licenses 1

Addresses

Other names 1

• Cedar Grove Dentistry Doing business as

Tax ID family

Cedar Grove Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Dental Edge of Smyrna

  • General Practice Dentistry
  • Smyrna, TN
  • NPI 1497040901
  NPD tax ID

Locations

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1780064907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WILD ELM ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648650",
            "telephone_number": "615-310-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 PRESIDENT PL",
            "address_2": "SUITE 120",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676807",
            "telephone_number": "615-310-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL EDGE OF SMYRNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "NORTHCUTT",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-310-0022",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "TN3885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Grove Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Samuel Deines, DMD
• Jessica Delay, CCC-SLP
• Abbe Gail Delong, LMFT
• Cynthia Renee Demonbreum, NURSE PRACTITIONER
• Rachel Michele Deneve, PA
• Dental Spa PLLC
• Mariam Deryas
• Megan Nicole Despot, LDO
• Jeffrey Lane Devine, LPC-MHSP
• Dhar Family Medicine, PLLC

• Dental Clinic/Center in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.