OrganizationActive
Tailwater Practice Partners
NPI 1457180838 · Dentist · Martin, TN
Tailwater Practice Partners is a Dentist organization in Martin, TN (NPI 1457180838).
Provider details
- NPI number
- 1457180838
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Tailwater Practice Partners
- Organization subpart
- Yes
- Authorized official
- Angie Loft, Rcm Director(651) 303-3203
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
113 Kennedy Dr
Martin, TN 38237-3344
Phone: (731) 587-4742
Street-level locationGet directions
Mailing address
113 Kennedy Dr
Martin, TN 38237-3344
Other names (DBA / former)
- Former legal business name
- Moore Dental Office
Registry dates
- Enumerated
- 2024-08-01
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Frequently asked questions
- What is Tailwater Practice Partners's NPI number?
- Tailwater Practice Partners's National Provider Identifier (NPI) is 1457180838, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tailwater Practice Partners?
- Tailwater Practice Partners is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Tailwater Practice Partners located?
- Tailwater Practice Partners's practice location on file with NPPES is 113 Kennedy Dr, Martin, TN 38237-3344.
- What is Tailwater Practice Partners's phone number?
- The practice phone number listed in the NPPES registry for Tailwater Practice Partners is (731) 587-4742.
- Who is the authorized official for Tailwater Practice Partners?
- The authorized official listed on Tailwater Practice Partners's NPPES record is Angie Loft, Rcm Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tailwater Practice Partners's NPI active?
- Yes — Tailwater Practice Partners's NPI (1457180838) is active in the NPPES registry as of the last update on 2024-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.