Organization Active NPI

Nko Dental PLLC

  • Dental Clinic/Center
  • Pulaski, TN
National Provider Identifier
1801498308
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NKO DENTAL PLLC
Practice address
317 S 2ND St
Pulaski, TN 38478-3842
Phone
(931) 363-5417
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Gwen McConnell
Title
Office Manager
Phone
(931) 363-5417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

317 S 2ND St
Pulaski, TN 38478-3842

Mailing address

317 S 2ND St
Pulaski, TN 38478-3842
Phone (931) 363-5417

National Provider Directory

National Provider Directory

Locations

317 S 2nd St
Pulaski, TN 38478
Phone (931) 363-5417

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1801498308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S 2ND ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783842",
            "telephone_number": "931-363-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S 2ND ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783842",
            "telephone_number": "931-363-5417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NKO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-363-5417"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.