NPIMap

Organization Active NPI

Cordova Family Dentistry

Doing business as American Family Dentistry

  • General Practice Dentistry
  • Cordova, TN
National Provider Identifier
1790826311
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CORDOVA FAMILY DENTISTRY
Doing business as
American Family Dentistry
Practice address
8520 Macon Rd
Suite #1
Cordova, TN 38018-7147
Phone
(901) 754-4383
Fax
(901) 754-3156
NPI assigned
Feb 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Judith F Stone, PM
Title
Practice Manager
Phone
(901) 754-4383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

8520 Macon Rd
Suite #1
Cordova, TN 38018-7147

Mailing address

8520 Macon Rd
Suite #1
Cordova, TN 38018-7147
Phone (901) 754-4383

Other names 1

  • American Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Dentistry of Seymour23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790826311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 MACON RD",
            "address_2": "SUITE #1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187147",
            "telephone_number": "901-754-4383",
            "fax_number": "901-754-3156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 MACON RD",
            "address_2": "SUITE #1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187147",
            "telephone_number": "901-754-4383",
            "fax_number": "901-754-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDOVA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "901-754-4383",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PM"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.