Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tailwater Practice Partners

Organization Dentist · NPI 1457180838

Tailwater Practice Partners provides Dentist services in Martin, Tennessee. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

113 Kennedy Dr
Martin, TN 38237-3344
Phone: (731) 587-4742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1457180838
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTailwater Practice Partners
Authorized official Angie Loft — Rcm Director · (651) 303-3203
Other names Moore Dental Office
NPI enumeratedAugust 1, 2024
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024
Mailing address113 Kennedy Dr, Martin, TN 38237-3344

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