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TN SOUTHERN DENTAL PPO
NPI 1609680701
Dentist in Brentwood, TN

Active since February 07, 2025
761 OLD HICKORY BLVD STE 100, BRENTWOOD, TN 37027(615) 377-0111 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tn Southern Dental Ppo NPPES

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

TN SOUTHERN DENTAL PPO (NPI 1609680701), doing business as Wesley Dentistry, is a healthcare organization registered as a dentist in Brentwood, Tennessee and active in the NPI registry since February 2025. The organization lists Erika Melissa Menjivar, Sr. Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1609680701
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameTN SOUTHERN DENTAL PPO
Location Address761 OLD HICKORY BLVD STE 100Brentwood, TN 37027-4519
Mailing Address5830 Granite Pkwy Ste 780Plano, TX 75024-6775
Phone(615) 377-0111
Organization SubpartYes
Authorized OfficialErika Melissa MenjivarSr. Credentialing Specialist · (469) 596-6137
Enumeration DateFebruary 7, 2025
NPPES CertifiedFebruary 6, 2025
✔ NPI 1609680701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
761 OLD HICKORY BLVD STE 100, Brentwood, TN 37027
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Other Names 1

Doing Business AsWesley Dentistry

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.

ZACHARY J. WESLEY DDS PLC
Dentist (General Practice)
761 OLD HICKORY BLVD STE 100
BRENTWOOD, TN 37027
Williamson County (615) 377-0111

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 Tn Southern Dental Ppo's NPI number?

The NPI number for Tn Southern Dental Ppo is 1609680701. It was assigned to this organization in the NPPES registry on February 7, 2025. The provider is doing business as Wesley Dentistry.

Where is Tn Southern Dental Ppo located?

Tn Southern Dental Ppo is located at 761 Old Hickory Blvd Ste 100, Brentwood, TN 37027. The listed phone number is (615) 377-0111.

What is Tn Southern Dental Ppo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Tn Southern Dental Ppo was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.