Organization Active NPI

Dove Dental - Cordova LLC

Doing business as Dove Family Dentistry

  • General Practice Dentistry
  • Cordova, TN
National Provider Identifier
1841950169
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DOVE DENTAL - CORDOVA LLC
Doing business as
Dove Family Dentistry
Practice address
8520 Macon Rd Ste 1
Cordova, TN 38018-7147
Phone
(901) 463-2727
NPI assigned
Dec 28, 2021
Last updated
Dec 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8520 Macon Rd Ste 1
Cordova, TN 38018-7147

Mailing address

8520 Macon Rd Ste 1
Cordova, TN 38018-7147
Phone (901) 463-2727

Other names 1

  • Dove Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

8520 Macon Rd
Ste 1
Cordova, TN 38018
Phone (901) 463-2727

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1841950169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8520 MACON RD STE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187147",
            "telephone_number": "901-463-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8520 MACON RD STE 1",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380187147",
            "telephone_number": "901-463-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE DENTAL - CORDOVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove 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 Dec 28, 2021; 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.