Neal Dental Office

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

NEAL DENTAL OFFICE

Practice address

780 Ridge Lake Blvd
201B
Memphis, TN 38120-9426

Phone

(901) 683-7315

Fax

(901) 683-2398

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Claudette Neal

Title

Owner

Phone

(901) 683-7315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1992144596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 RIDGE LAKE BLVD",
            "address_2": "201B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209426",
            "telephone_number": "901-683-7315",
            "fax_number": "901-683-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 RIDGE LAKE BLVD",
            "address_2": "201B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209426",
            "telephone_number": "901-683-7315",
            "fax_number": "901-683-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL DENTAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "CLAUDETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-683-7315",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Naylor
• Mannu Nayyar, M.D.
• Natasha Mina Nazari
• NCS Healthcare of Tennessee, LLC
• Albert Ndzengue, M.D.
• Angeal Kay Neal
• Ashley Veronica Neal, MS, LPC
• John Michael Neal, OD
• Kenan Neal, BS
• Laquisha Neal

• Dentist in Memphis, TN
• Providers in Memphis, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.