Smyrna Dental Group
Dentist, General Practice in Smyrna, TN. Organization (NPI-2).
NPI number1265720197
StatusActive
Last updated in NPPESJul 12, 2011
Details
- NPI
- 1265720197
- Entity type
- Organization (NPI-2)
- Legal business name
- Smyrna Dental Group
- Organization subpart
- No
- Enumeration date
- Jul 12, 2011
- Last updated
- Jul 12, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS4384 | TN | Yes |
Practice location
1336 Hazelwood DrSmyrna, TN 37167-3958
Phone 615-355-6800
Mailing address
1336 Hazelwood DrSmyrna, TN 37167-3958
Phone 615-355-6800
Authorized official
Kevin D Gurley
Proprietor
6153556800
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