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SOUTHEASTERN DENTAL OF MT JULIET PLLC
NPI 1568021285
Clinic/Center - Dental in Mt Juliet, TN

Active since June 06, 2019
631 S MOUNT JULIET RD, MT JULIET, TN 37122(615) 754-6677(615) 773-5002 Get Directions Write a Review

NPPES record last updated: June 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Dental Of Mt Juliet Pllc NPPES

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

SOUTHEASTERN DENTAL OF MT JULIET PLLC (NPI 1568021285) is a healthcare organization registered as a dental in Mt Juliet, Tennessee and active in the NPI registry since June 2019. The organization lists Vickie Metcalf, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1568021285
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSOUTHEASTERN DENTAL OF MT JULIET PLLC
Location Address631 S MOUNT JULIET RDMt Juliet, TN 37122-6319
Mailing Address631 S Mount Juliet RdMt Juliet, TN 37122-6319 · (615) 754-6677 · Fax (615) 773-5002
Phone(615) 754-6677
Fax(615) 773-5002
Organization SubpartNo
Authorized OfficialVickie MetcalfPractice Administrator · (615) 568-3258
Enumeration DateJune 6, 2019
✔ NPI 1568021285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
631 S MOUNT JULIET RD, Mt Juliet, TN 37122
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Other Identifiers 3

Other1164592226Darren Foster, Dds
Other1932652302Kinjal Vora, Dds
Other1700203007R. W. Archer

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 Of Mt Juliet PLLC's NPI number?

The NPI number for Southeastern Dental Of Mt Juliet PLLC is 1568021285. It was assigned to this organization in the NPPES registry on June 6, 2019.

Where is Southeastern Dental Of Mt Juliet PLLC located?

Southeastern Dental Of Mt Juliet PLLC is located at 631 S Mount Juliet Rd, Mt Juliet, TN 37122. The listed phone number is (615) 754-6677.

What is Southeastern Dental Of Mt Juliet PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Southeastern Dental Of Mt Juliet PLLC was last updated on June 6, 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.