AMERICAN FAMILY DENTISTRY COLLIERVILLE
NPI 1124788229
Dentist - General Practice in Collierville, TN

Active since December 30, 2021
2130 W POPLAR AVE STE 106, COLLIERVILLE, TN 38017(901) 861-7007(901) 861-7066 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2022, Dec 30, 2021 (2 updates tracked since 2021).

About American Family Dentistry Collierville NPPES

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

AMERICAN FAMILY DENTISTRY COLLIERVILLE (NPI 1124788229) is a healthcare organization registered as a general practice in Collierville, Tennessee and active in the NPI registry since December 2021. The organization lists Celia Hayes, Credentialingcoordinator, as its authorized official.

NPPES Registry Identity

NPI1124788229
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAMERICAN FAMILY DENTISTRY OF MEMPHIS, PC
Location Address2130 W POPLAR AVE STE 106Collierville, TN 38017-0615
Mailing Address2130 W Poplar Ave Ste 106Collierville, TN 38017-0615 · (901) 861-7007 · Fax (901) 861-7066
Fax(901) 861-7066
Organization SubpartYes
Authorized OfficialCelia HayesCredentialingcoordinator · (217) 540-2100
Enumeration DateDecember 30, 2021
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
NPI 1124788229 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.
2130 W POPLAR AVE STE 106, Collierville, TN 38017

Other Names 1

Doing Business AsAmerican Family Dentistry Collierville

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

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 American Family Dentistry Of Memphis, PC's NPI number?

The NPI number for American Family Dentistry Of Memphis, PC is 1124788229. It was assigned to this organization in the NPPES registry on December 30, 2021. The provider is doing business as American Family Dentistry Collierville.

Where is American Family Dentistry Of Memphis, PC located?

American Family Dentistry Of Memphis, PC is located at 2130 W Poplar Ave Ste 106, Collierville, TN 38017. The listed phone number is (901) 861-7007.

What is American Family Dentistry Of Memphis, PC'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 American Family Dentistry Of Memphis, PC was last updated on January 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.