PDC OF MEMPHIS 3 PLLC
NPI 1063387652
Dentist - Pediatric Dentistry in Memphis, TN

Q: What is Pdc Of Memphis 3 PLLC's NPI number?

The NPI number for Pdc Of Memphis 3 PLLC is 1063387652. It was assigned to this organization in the NPPES registry on October 6, 2025.

Q: What is Pdc Of Memphis 3 PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since October 06, 2025

5040 SANDERLIN AVE STE 101, MEMPHIS, TN 38117(901) 363-8192 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Pdc Of Memphis 3 Pllc NPPES

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

PDC OF MEMPHIS 3 PLLC (NPI 1063387652) is a healthcare organization registered as a pediatric dentistry in Memphis, Tennessee and active in the NPI registry since October 2025. The organization lists John Acosta, Owner, as its authorized official.

NPPES Registry Identity

NPI1063387652

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NamePDC OF MEMPHIS 3 PLLC

Location Address5040 SANDERLIN AVE STE 101Memphis, TN 38117-4374

Mailing Address5286 Cole RdMemphis, TN 38120-2402 · (901) 363-8192

Phone(901) 363-8192

Organization SubpartYesParent: Pdc Clinical Pllc

Authorized OfficialJohn AcostaOwner · (901) 363-8192

Enumeration DateOctober 6, 2025

NPPES CertifiedOctober 6, 2025

✔ NPI 1063387652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X

5040 SANDERLIN AVE STE 101, Memphis, TN 38117

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BRADLEY W. WILKINSON

Clinic/Center (Dental)

5040 SANDERLIN AVE STE 101
MEMPHIS, TN 38117

Shelby County (901) 761-5155

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 Pdc Of Memphis 3 PLLC's NPI number?

The NPI number for Pdc Of Memphis 3 PLLC is 1063387652. It was assigned to this organization in the NPPES registry on October 6, 2025.

Where is Pdc Of Memphis 3 PLLC located?

Pdc Of Memphis 3 PLLC is located at 5040 Sanderlin Ave Ste 101, Memphis, TN 38117. The listed phone number is (901) 363-8192.

What is Pdc Of Memphis 3 PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pdc Of Memphis 3 PLLC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.