NPIMap

Organization Active NPI

Affordable Dentures & Implants - Tennessee, PLLC

  • General Practice Dentistry
  • Madison, TN
National Provider Identifier
1902402928
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTURES & IMPLANTS - TENNESSEE, PLLC
Practice address
2285 Gallatin Pike N
Madison, TN 37115-2018
Phone
(615) 280-8430
NPI assigned
Dec 6, 2020
Last updated
Nov 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Authorized official

Name
Haley Wooster
Title
Credentialing Specialist
Phone
(712) 733-8551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2285 Gallatin Pike N
Madison, TN 37115-2018

Mailing address

2285 Gallatin Pike N
Madison, TN 37115-2018
Phone (615) 280-8430

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dentures Implants - Tennessee PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2285 Gallatin Pike N
Madison, TN 37115
Phone (615) 280-8430

NPI Registry JSON

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

{
    "created_epoch": "1607212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637107200000",
    "number": "1902402928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152018",
            "telephone_number": "615-280-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 GALLATIN PIKE N",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371152018",
            "telephone_number": "615-280-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES & IMPLANTS - TENNESSEE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-06",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "WOOSTER",
        "authorized_official_first_name": "HALEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "712-733-8551"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.