South Nashville Dental Associates, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH NASHVILLE DENTAL ASSOCIATES, PLLC

Doing business as

Tennessee Family Dental South Nashville

Practice address

15576 Old Hickory Blvd
Nashville, TN 37211-7330

Phone

(615) 331-5977

Fax

(615) 331-5978

NPI assigned

Aug 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Mark Oneill, DMDNPI 1124380704

Title

Owner / Dentist

Phone

(615) 331-5977

Specialties & licenses 1

Addresses

Other names 1

• Tennessee Family Dental South Nashville Doing business as

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.

• Ryan Mark O'Neill, D.M.D.

  • Dentist
  • Nashville, TN
  • NPI 1124380704
  NPD (past) Authorized official

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1851904338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15576 OLD HICKORY BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117330",
            "telephone_number": "615-331-5977",
            "fax_number": "615-331-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15576 OLD HICKORY BLVD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372117330",
            "telephone_number": "615-331-5977",
            "fax_number": "615-331-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH NASHVILLE DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "ONEILL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "615-331-5977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Family Dental South Nashville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Soule, APRN FNP-C
• Katharine Noble Sourbeer
• Nadia Souri
• Bounchanh Souriyavong, PHARMD
• South College of TN, LLC
• Barry Keith South, DC
• Elizabeth Noelle Southards
• Southcrest Clinic, P. C.
• Southeast Addiction Center Nashville LLC
• Southeast Clinical Partners

• General Practice Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.