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DR. JERRY ALVIN MIDYETT D.D.S.
NPI 1467577304
Dentist - General Practice in Memphis, TN

Active since March 20, 2007
4177 MACON RD, MEMPHIS, TN 38122(901) 452-5277(901) 452-4834 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Jerry Alvin Midyett D.d.s. NPPES

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

DR. JERRY ALVIN MIDYETT D.D.S. (NPI 1467577304) is an individual general practice provider in Memphis, Tennessee, licensed in Tennessee (DS0000001672) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1467577304
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JERRY ALVIN MIDYETTCredential: D.D.S.
Location Address4177 MACON RDMemphis, TN 38122-2413
Mailing Address4177 Macon RdMemphis, TN 38122-2413 · (901) 452-5277 · Fax (901) 452-4834
Phone(901) 452-5277
Fax(901) 452-4834
Sole ProprietorYes
Enumeration DateMarch 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467577304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS0000001672
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.
4177 MACON RD, Memphis, TN 38122
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. JEFFREY POPE FRIZZELL DDS
Dentist
4177 MACON RD
MEMPHIS, TN 38122
Shelby County (901) 454-6103
DR. CLAY GATLIN MIDYETT D.D.S.
Dentist (General Practice)
4177 MACON RD
MEMPHIS, TN 38122
Shelby County (901) 452-5277

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 Jerry Midyett's NPI number?

The NPI number for Jerry Midyett is 1467577304. It was assigned to this individual provider in the NPPES registry on March 20, 2007.

Where is Jerry Midyett located?

Jerry Midyett practices at 4177 Macon Rd, Memphis, TN 38122. The listed phone number is (901) 452-5277.

What is Jerry Midyett's specialty?

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

What insurance does Jerry Midyett accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jerry Midyett 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 Jerry Midyett was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.