OrganizationActive
Cd Tennessee Dental, P.C.
NPI 1083263586 · General Practice Dentistry · Madison, TN
Cd Tennessee Dental, P.C. is a General Practice Dentistry organization in Madison, TN (NPI 1083263586).
Provider details
- NPI number
- 1083263586
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ty Justice, Director, Payer Relations(513) 808-4984
Specialties & taxonomies
Dental Providers
- Dentist122300000X
Dental Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
103 Cude Ln
Madison, TN 37115-2201
Phone: (615) 851-7999
Fax: (615) 851-8491
Street-level locationGet directions
Mailing address
9825 Kenwood Rd Ste 200
Blue Ash, OH 45242-6252
Other names (DBA / former)
- Doing business as
- Radiant Smiles Dentistry
Registry dates
- Enumerated
- 2019-09-06
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Frequently asked questions
- What is Cd Tennessee Dental, P.C.'s NPI number?
- Cd Tennessee Dental, P.C.'s National Provider Identifier (NPI) is 1083263586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cd Tennessee Dental, P.C.?
- Cd Tennessee Dental, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Cd Tennessee Dental, P.C. located?
- Cd Tennessee Dental, P.C.'s practice location on file with NPPES is 103 Cude Ln, Madison, TN 37115-2201.
- What is Cd Tennessee Dental, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Cd Tennessee Dental, P.C. is (615) 851-7999.
- Who is the authorized official for Cd Tennessee Dental, P.C.?
- The authorized official listed on Cd Tennessee Dental, P.C.'s NPPES record is Ty Justice, Director, Payer Relations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cd Tennessee Dental, P.C.'s NPI active?
- Yes — Cd Tennessee Dental, P.C.'s NPI (1083263586) is active in the NPPES registry as of the last update on 2023-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.