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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHEASTERN DENTAL ASSOCIATES OF SODDY DAISY
NPI 1790821148
Dentist - General Practice in Soddy Daisy, TN

Active since January 30, 2007
11246 DAYTON PIKE, SODDY DAISY, TN 37379(423) 332-0500(423) 332-0920 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southeastern Dental Associates Of Soddy Daisy NPPES

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

SOUTHEASTERN DENTAL ASSOCIATES OF SODDY DAISY (NPI 1790821148) is a healthcare organization registered as a general practice in Soddy Daisy, Tennessee and active in the NPI registry since January 2007. The organization lists Nicholas Eugene Bowman, President, as its authorized official.

NPPES Registry Identity

NPI1790821148
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTHEASTERN DENTAL ASSOCIATES OF SODDY DAISY
Location Address11246 DAYTON PIKESoddy Daisy, TN 37379
Mailing Address11246 Dayton PikeSoddy Daisy, TN 37379 · (423) 332-0500 · Fax (423) 332-0920
Phone(423) 332-0500
Fax(423) 332-0920
Organization SubpartNo
Authorized OfficialNicholas Eugene BowmanPresident · (423) 332-0500
Enumeration DateJanuary 30, 2007
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1790821148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
Also ListedDentistTaxonomy 122300000X · License 8527 (TN)
11246 DAYTON PIKE, Soddy Daisy, TN 37379
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DR. NICHOLAS EUGENE BOWMAN DMD
Dentist (General Practice)
11246 DAYTON PIKE
SODDY DAISY, TN 37379
Hamilton County (423) 332-0500

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 Associates Of Soddy Daisy's NPI number?

The NPI number for Southeastern Dental Associates Of Soddy Daisy is 1790821148. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Southeastern Dental Associates Of Soddy Daisy located?

Southeastern Dental Associates Of Soddy Daisy is located at 11246 Dayton Pike, Soddy Daisy, TN 37379. The listed phone number is (423) 332-0500.

What is Southeastern Dental Associates Of Soddy Daisy'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 Southeastern Dental Associates Of Soddy Daisy was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.