# TENNESSEE DENTAL PROFESSIONALS, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TENNESSEE DENTAL PROFESSIONALS, PC
- **Other names:** Airline Road Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1609653260
- **Legal business name:** TENNESSEE DENTAL PROFESSIONALS, PC
- **Authorized official:** BELINDA HUERTA (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 5261 AIRLINE RD, STE 102, ARLINGTON, TN 38002-4267
- **Practice address phone:** (901) 290-0885
- **Practice address fax:** (901) 290-0871
- **Mailing address:** 5261 AIRLINE RD, STE 102, ARLINGTON, TN 38002-4267
- **Mailing address phone:** (901) 290-0885
- **Mailing address fax:** (901) 290-0871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2023
- **Last updated:** 01/17/2024