Smile of Tennessee, P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE OF TENNESSEE, P.C.

Practice address

414 Union Street, 8TH Floor
Nashville, TN 37219

Phone

(800) 848-7566

NPI assigned

Sep 6, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Blaine Leeds, DDS

Title

Owner

Phone

(800) 848-7566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1821570797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 UNION STREET, 8TH FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37219",
            "telephone_number": "800-848-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 UNION STREET, 8TH FLOOR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37219",
            "telephone_number": "800-848-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE OF TENNESSEE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "LEEDS",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-848-7566",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.