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SOUTHEASTERN DENTAL PLLC
NPI 1386209849
Clinic/Center - Dental in Madison, TN

Active since May 09, 2019
117 GALLATIN PIKE N, MADISON, TN 37115(615) 868-6177 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southeastern Dental Pllc NPPES

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

SOUTHEASTERN DENTAL PLLC (NPI 1386209849) is a healthcare organization registered as a dental in Madison, Tennessee and active in the NPI registry since May 2019. The organization lists Vickie J Metcalf, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1386209849
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHEASTERN DENTAL PLLC
Location Address117 GALLATIN PIKE NMadison, TN 37115-3701
Mailing Address117 Gallatin Pike NMadison, TN 37115-3701 · (615) 868-6177
Phone(615) 868-6177
Organization SubpartNo
Authorized OfficialVickie J MetcalfPractice Administrator · (615) 568-3258
Enumeration DateMay 9, 2019
✔ NPI 1386209849 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
117 GALLATIN PIKE N, Madison, TN 37115
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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 ›

Other Providers at the Same Location NPPES 3

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

DR. DARREN G FOSTER DDS
Dentist (General Practice)
117 GALLATIN PIKE N
MADISON, TN 37115
Davidson County (615) 868-6177
MRS. CHERMELLE LYNN WALLER-BOONE RDH
Dental Hygienist
117 GALLATIN PIKE N
MADISON, TN 37115
Davidson County (615) 868-6177
SARAH M MOORE
Dentist
117 GALLATIN PIKE N
MADISON, TN 37115
Davidson County (615) 868-6177

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 Southeastern Dental PLLC's NPI number?

The NPI number for Southeastern Dental PLLC is 1386209849. It was assigned to this organization in the NPPES registry on May 9, 2019.

Where is Southeastern Dental PLLC located?

Southeastern Dental PLLC is located at 117 Gallatin Pike N, Madison, TN 37115. The listed phone number is (615) 868-6177.

What is Southeastern Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Southeastern Dental PLLC 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 1 other insurer list Southeastern Dental PLLC 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 Southeastern Dental PLLC was last updated on May 9, 2019. 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.