Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cd Tennessee Dental, PC

Organization Dentist · NPI 1083263586

Cd Tennessee Dental, PC is a Dentist in Madison, Tennessee. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 Cude Ln
Madison, TN 37115-2201
Phone: (615) 851-7999
Fax: (615) 851-8491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X

Record details

NPI number1083263586
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ty Justice — Director, Payer Relations · (513) 808-4984
Other names Radiant Smiles Dentistry
NPI enumeratedSeptember 6, 2019
Last updated in NPPESMay 3, 2023
Certification dateMay 3, 2023
Mailing address9825 Kenwood Rd Ste 200, Blue Ash, OH 45242-6252

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