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SHELBY DENTAL
NPI 1063989754
Dentist - General Practice in Memphis, TN

Active since October 31, 2018
990 JUNE RD, MEMPHIS, TN 38119(901) 767-2290(901) 683-4524 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shelby Dental NPPES

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

SHELBY DENTAL (NPI 1063989754) is a healthcare organization registered as a general practice in Memphis, Tennessee and active in the NPI registry since October 2018. The organization lists Shelby Dene Blaylock, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1063989754
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSHELBY DENTAL
Location Address990 JUNE RDMemphis, TN 38119-3702
Mailing Address990 June RdMemphis, TN 38119-3702 · (901) 767-2290 · Fax (901) 683-4524
Phone(901) 767-2290
Fax(901) 683-4524
Organization SubpartNo
Authorized OfficialShelby Dene BlaylockDentist/owner · (901) 767-2290
Enumeration DateOctober 31, 2018
✔ NPI 1063989754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
990 JUNE RD, Memphis, TN 38119
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. WEBER WINSTON MANNING DDS
Dentist (General Practice)
990 JUNE RD
MEMPHIS, TN 38119
Shelby County (901) 767-2290
WEBER W MANNING DDS PC
Dentist (General Practice)
990 JUNE RD
MEMPHIS, TN 38119
Shelby County (901) 767-2290

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 Shelby Dental's NPI number?

The NPI number for Shelby Dental is 1063989754. It was assigned to this organization in the NPPES registry on October 31, 2018.

Where is Shelby Dental located?

Shelby Dental is located at 990 June Rd, Memphis, TN 38119. The listed phone number is (901) 767-2290.

What is Shelby Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Shelby Dental was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.