OrganizationActive
Cordova Dental
NPI 1629364922 · General Practice Dentistry · Cordova, TN
Cordova Dental is a General Practice Dentistry organization in Cordova, TN (NPI 1629364922).
Provider details
- NPI number
- 1629364922
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Stacey Fulk, Receptionist(901) 759-0999
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
8333 Cordova Rd
Cordova, TN 38016-2046
Phone: (901) 759-0999
Fax: (901) 758-8777
Street-level locationGet directions
Mailing address
8333 Cordova Rd
Cordova, TN 38016-2046
Registry dates
- Enumerated
- 2011-06-24
- Last updated
- 2011-06-24
Frequently asked questions
- What is Cordova Dental's NPI number?
- Cordova Dental's National Provider Identifier (NPI) is 1629364922, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cordova Dental?
- Cordova Dental is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Cordova Dental located?
- Cordova Dental's practice location on file with NPPES is 8333 Cordova Rd, Cordova, TN 38016-2046.
- What is Cordova Dental's phone number?
- The practice phone number listed in the NPPES registry for Cordova Dental is (901) 759-0999.
- Who is the authorized official for Cordova Dental?
- The authorized official listed on Cordova Dental's NPPES record is Stacey Fulk, Receptionist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cordova Dental's NPI active?
- Yes — Cordova Dental's NPI (1629364922) is active in the NPPES registry as of the last update on 2011-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.