MONUMENT DENTAL ANESTHESIA PLLC
NPI 1356891675
Dentist - Dentist Anesthesiologist in Memphis, TN

Active since October 11, 2016
120 S GROVE PARK RD, MEMPHIS, TN 38117(901) 491-0971 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 1, 2017, Oct 11, 2016 (2 updates tracked since 2016).

About Monument Dental Anesthesia Pllc NPPES

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

MONUMENT DENTAL ANESTHESIA PLLC (NPI 1356891675) is a healthcare organization registered as a dentist anesthesiologist in Memphis, Tennessee and active in the NPI registry since October 2016. The organization lists Russell D Morrell, Owner, as its authorized official.

NPPES Registry Identity

NPI1356891675
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameMONUMENT DENTAL ANESTHESIA PLLC
Location Address120 S GROVE PARK RDMemphis, TN 38117-3104
Mailing Address120 S Grove Park RdMemphis, TN 38117-3104 · (901) 491-0971
Organization SubpartNo
Authorized OfficialRussell D MorrellOwner · (901) 491-0971
Enumeration DateOctober 11, 2016
Last NPPES UpdateFebruary 1, 20172 updates tracked since enumeration
NPI 1356891675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License Licensed in TN · 9030
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
120 S GROVE PARK RD, Memphis, TN 38117

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.

Dentist (Dentist Anesthesiologist)
120 S GROVE PARK RD
MEMPHIS, TN 38117

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 Monument Dental Anesthesia PLLC's NPI number?

The NPI number for Monument Dental Anesthesia PLLC is 1356891675. It was assigned to this organization in the NPPES registry on October 11, 2016.

Where is Monument Dental Anesthesia PLLC located?

Monument Dental Anesthesia PLLC is located at 120 S Grove Park Rd, Memphis, TN 38117. The listed phone number is (901) 491-0971.

What is Monument Dental Anesthesia PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Monument Dental Anesthesia PLLC was last updated on February 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.