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DR. MARISSA SANDIDGE DMD
NPI 1992194195
Dentist - Pediatric Dentistry in Cookeville, TN

Active since January 12, 2015
1100 NEAL ST STE B, COOKEVILLE, TN 38501(931) 240-6224 Get Directions Write a Review

NPPES record last updated: January 1, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 1, 2019, Jan 25, 2017, Nov 3, 2016 (3 updates tracked since 2016).

About Dr. Marissa Sandidge Dmd NPPES

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

DR. MARISSA SANDIDGE DMD (NPI 1992194195) is an individual pediatric dentistry provider in Cookeville, Tennessee, licensed in Tennessee (10377) and active in the NPI registry since January 2015. She maintains a secondary practice location in Hermitage.

NPPES Registry Identity

NPI1992194195
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARISSA SANDIDGECredential: DMD
Location Address1100 NEAL ST STE BCookeville, TN 38501-0900
Mailing Address1809 Mcewen AveNashville, TN 37206-1856 · (770) 633-6566
Phone(931) 240-6224
Sole ProprietorNo
Enumeration DateJanuary 12, 2015
Last NPPES UpdateJanuary 1, 20193 updates tracked since enumeration
✔ NPI 1992194195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TN · 10377
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 2901021436 (MI)
1100 NEAL ST STE B, Cookeville, TN 38501
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Other Names 1

Former Name (1)Marissa Ludley Dmd

Secondary Practice Location 1

Location 1107 Bonnabrook DrHermitage, TN 37076-1910 · Phone (615) 205-5956

Other Identifiers 1

MedicaidQ026169TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES

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

HERMITAGE PEDIATRIC DENTISTRY, PLLC
Dentist (Pediatric Dentistry)
1100 NEAL ST STE B
COOKEVILLE, TN 38501
Putnam County (931) 349-7807

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 Marissa Sandidge's NPI number?

The NPI number for Marissa Sandidge is 1992194195. It was assigned to this individual provider in the NPPES registry on January 12, 2015. The provider is also known as Marissa Ludley Dmd.

Where is Marissa Sandidge located?

Marissa Sandidge practices at 1100 Neal St Ste B, Cookeville, TN 38501. The listed phone number is (931) 240-6224.

What is Marissa Sandidge's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Marissa Sandidge accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 12 other insurers list Marissa Sandidge 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 Marissa Sandidge was last updated on January 1, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.