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

Maple Leaf Implant and General Dentistry, PLLC

Organization General Practice Dentistry · NPI 1679879415

Maple Leaf Implant and General Dentistry, PLLC is a General Practice Dentistry in Cookeville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

220 N Washington Ave
Cookeville, TN 38501-2642
Phone: (931) 526-2613
Fax: (931) 646-0901
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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 · Licence 7879 (TN)

Record details

NPI number1679879415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerald Bryant — Dentist · (931) 526-2613
NPI enumeratedJanuary 26, 2011
Last updated in NPPESFebruary 15, 2016
Mailing address220 N Washington Ave, Cookeville, TN 38501-2642

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