Active NPI
Ideal Dental of Murfreesboro PLLC
- Dentist
- Murfreesboro, TN
National Provider Identifier
1861067191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- IDEAL DENTAL OF MURFREESBORO PLLC
- Practice address
- 2249 Medical Center Pkwy Ste B
Murfreesboro, TN 37129-4280 - Phone
- (615) 285-3899
- Fax
- (615) 671-4524
- NPI assigned
- May 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rodney Alles, DDS
- Title
- Owner
- Phone
- (972) 331-8073
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
2249 Medical Center Pkwy Ste B
Murfreesboro, TN 37129-4280
Mailing address
PO Box 840925
Dallas, TX 75284-0925
Phone (972) 361-0600
National Provider Directory
National Provider DirectoryLocations
2249 Medical Center Pkwy
Ste B
Murfreesboro, TN 37129
Phone (615) 285-3899
2249 Medical Center Pkwy
Murfreesboro, TN 37129
Phone (615) 285-3899
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Murfreesboro, TN
- NPI 1427897933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1861067191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840925",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840925",
"telephone_number": "972-361-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 MEDICAL CENTER PKWY STE B",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371294280",
"telephone_number": "615-285-3899",
"fax_number": "615-671-4524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAL DENTAL OF MURFREESBORO PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "ALLES",
"authorized_official_first_name": "RODNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-331-8073",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.