CHICKASAW DENTAL
NPI 1619005717
Dentist - General Practice in Memphis, TN

Active since March 01, 2007
2877 POPLAR AVE, MEMPHIS, TN 38111(901) 324-0093(901) 324-4029 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chickasaw Dental NPPES

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

CHICKASAW DENTAL (NPI 1619005717) is a healthcare organization registered as a general practice in Memphis, Tennessee and active in the NPI registry since March 2007. The organization lists Orpheus Triplett, President, as its authorized official.

NPPES Registry Identity

NPI1619005717
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHICKASAW DENTAL
Location Address2877 POPLAR AVEMemphis, TN 38111-2023
Mailing Address2877 Poplar AveMemphis, TN 38111-2023 · (901) 324-0093 · Fax (901) 324-4029
Fax(901) 324-4029
Organization SubpartNo
Authorized OfficialOrpheus TriplettPresident · (901) 324-0093
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1619005717 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 · 4439
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.
2877 POPLAR AVE, Memphis, TN 38111

Other Identifiers 1

Medicaid3225499TN

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

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 Chickasaw Dental's NPI number?

The NPI number for Chickasaw Dental is 1619005717. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Chickasaw Dental located?

Chickasaw Dental is located at 2877 Poplar Ave, Memphis, TN 38111. The listed phone number is (901) 324-0093.

What is Chickasaw Dental's specialty?

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

When was this NPI record last updated?

The NPPES record for Chickasaw Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.