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

Tn Southern Dental PPO

Organization Dentist · NPI 1609680701

Tn Southern Dental PPO is a Dentist in Brentwood, Tennessee. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

761 Old Hickory Blvd Ste 100
Brentwood, TN 37027-4519
Phone: (615) 377-0111
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 number1609680701
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationTn Southern Dental PPO
Authorized official Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137
Other names Wesley Dentistry
NPI enumeratedFebruary 7, 2025
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 6, 2025
Mailing address5830 Granite Pkwy Ste 780, Plano, TX 75024-6775

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