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AUDUBON DENTAL GROUP
NPI 1255760385
Dentist - General Practice in Memphis, TN

Active since November 08, 2013
370 COLONIAL ROAD, 3, MEMPHIS, TN 38117(901) 853-9800 Get Directions Write a Review

NPPES record last updated: September 17, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Audubon Dental Group NPPES

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

AUDUBON DENTAL GROUP (NPI 1255760385) is a healthcare organization registered as a general practice in Memphis, Tennessee and active in the NPI registry since November 2013. The organization lists Kim Wilson, Cred Supervisor, as its authorized official.

NPPES Registry Identity

NPI1255760385
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTENNESSEE DENTAL PROFESSIONALS PC
Location Address370 COLONIAL ROAD, 3Memphis, TN 38117
Mailing Address370 Colonial Road, 3Memphis, TN 38117 · (901) 853-9800
Phone(901) 853-9800
Organization SubpartYes
Authorized OfficialKim WilsonCred Supervisor · (217) 540-5170
Enumeration DateNovember 8, 2013
Last NPPES UpdateSeptember 17, 2014
✔ NPI 1255760385 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.
370 COLONIAL ROAD, Memphis, TN 38117
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Other Names 1

Doing Business AsAudubon Dental Group

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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 Tennessee Dental Professionals PC's NPI number?

The NPI number for Tennessee Dental Professionals PC is 1255760385. It was assigned to this organization in the NPPES registry on November 8, 2013. The provider is doing business as Audubon Dental Group.

Where is Tennessee Dental Professionals PC located?

Tennessee Dental Professionals PC is located at 370 Colonial Road 3, Memphis, TN 38117. The listed phone number is (901) 853-9800.

What is Tennessee Dental Professionals PC's specialty?

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

What insurance does Tennessee Dental Professionals PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Tennessee Dental Professionals PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tennessee Dental Professionals PC was last updated on September 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.