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TN SOUTHERN DENTAL PPO
NPI 1245044346
Dentist in Murfreesboro, TN

Active since February 07, 2025
4183 FRANKLIN RD STE B5, MURFREESBORO, TN 37128(615) 907-4746 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tn Southern Dental Ppo NPPES

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

TN SOUTHERN DENTAL PPO (NPI 1245044346), doing business as Blackman Grove Dental, is a healthcare organization registered as a dentist in Murfreesboro, Tennessee and active in the NPI registry since February 2025. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1245044346
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTN SOUTHERN DENTAL PPO
Location Address4183 FRANKLIN RD STE B5Murfreesboro, TN 37128-3112
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(615) 907-4746
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateFebruary 7, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1245044346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4183 FRANKLIN RD STE B5, Murfreesboro, TN 37128
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Other Names 1

Doing Business AsBlackman Grove Dental

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

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

DR. ALICE MEEKS DDS
Dentist
4183 FRANKLIN RD STE B5
MURFREESBORO, TN 37128
Rutherford County (615) 907-4746

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 Tn Southern Dental Ppo's NPI number?

The NPI number for Tn Southern Dental Ppo is 1245044346. It was assigned to this organization in the NPPES registry on February 7, 2025. The provider is doing business as Blackman Grove Dental.

Where is Tn Southern Dental Ppo located?

Tn Southern Dental Ppo is located at 4183 Franklin Rd Ste B5, Murfreesboro, TN 37128. The listed phone number is (615) 907-4746.

What is Tn Southern Dental Ppo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Tn Southern Dental Ppo was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.