# SOH OF TENNEESSEE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOH OF TENNEESSEE PLLC
- **Other names:** Myers Family Dentistry
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689374845
- **Legal business name:** SOH OF TENNEESSEE PLLC
- **Authorized official:** ASHLY SUNSHINE (CREDENTIALING)
- **Authorized official phone:** (636) 362-4986

## Contact information

- **Practice address:** 101 MARKET PL, CLINTON, TN 37716-3751
- **Practice address phone:** (865) 457-3211
- **Mailing address:** 1190 MERAMEC STATION RD STE 110, BALLWIN, MO 63021-6902
- **Mailing address phone:** (636) 362-4986

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2023
- **Last updated:** 09/28/2026