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NEW IMAGE FAMILY DENTISTRY R
NPI 1053495697
Non-Pharmacy Dispensing Site in Memphis, TN

Active since October 24, 2006
3719 RIVERDALE RD, MEMPHIS, TN 38115(901) 365-2000(901) 365-2626 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About New Image Family Dentistry R NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW IMAGE FAMILY DENTISTRY R (NPI 1053495697) is a healthcare organization registered as a non-pharmacy dispensing site in Memphis, Tennessee and active in the NPI registry since October 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1053495697
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameNEW IMAGE FAMILY DENTISTRY R
Location Address3719 RIVERDALE RDMemphis, TN 38115-5322
Mailing Address3719 Riverdale RdMemphis, TN 38115-5322
Phone(901) 365-2000
Fax(901) 365-2626
Organization SubpartNo
Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053495697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License✔ Licensed in TN · DS0000006961
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
3719 RIVERDALE RD, Memphis, TN 38115
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Other Names 1

Doing Business AsNew Image Family Dentistry R

Other Identifiers 1

Other4438784Other Id Number-commercial Number

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLOBAL DENTAL CENTER LLC
Dentist
3719 RIVERDALE RD
MEMPHIS, TN 38115
Shelby County (901) 527-5359
DR. TONYA M ANDERSON DDS
Dentist
3719 RIVERDALE RD
MEMPHIS, TN 38115
Shelby County (901) 365-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Image Family Dentistry R's NPI number?

The NPI number for New Image Family Dentistry R is 1053495697. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is New Image Family Dentistry R located?

New Image Family Dentistry R is located at 3719 Riverdale Rd, Memphis, TN 38115. The listed phone number is (901) 365-2000.

What is New Image Family Dentistry R's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for New Image Family Dentistry R was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.