OrganizationActive
Southeastern Dental Associates of Soddy Daisy
NPI 1790821148 · Dentist · Soddy Daisy, TN
Southeastern Dental Associates of Soddy Daisy is a Dentist organization in Soddy Daisy, TN (NPI 1790821148).
Provider details
- NPI number
- 1790821148
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Nicholas Bowman, President(423) 332-0500
- License
- 8527 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
124 Harrison Ln
Suite 100
Soddy Daisy, TN 37379-4831
Phone: (423) 332-0500
Fax: (423) 332-0920
Street-level locationGet directions
Mailing address
124 Harrison Ln
Soddy Daisy, TN 37379-4831
Registry dates
- Enumerated
- 2007-01-30
- Last updated
- 2013-04-16
Frequently asked questions
- What is Southeastern Dental Associates of Soddy Daisy's NPI number?
- Southeastern Dental Associates of Soddy Daisy's National Provider Identifier (NPI) is 1790821148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southeastern Dental Associates of Soddy Daisy?
- Southeastern Dental Associates of Soddy Daisy is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Southeastern Dental Associates of Soddy Daisy located?
- Southeastern Dental Associates of Soddy Daisy's practice location on file with NPPES is 124 Harrison Ln, Soddy Daisy, TN 37379-4831.
- What is Southeastern Dental Associates of Soddy Daisy's phone number?
- The practice phone number listed in the NPPES registry for Southeastern Dental Associates of Soddy Daisy is (423) 332-0500.
- Who is the authorized official for Southeastern Dental Associates of Soddy Daisy?
- The authorized official listed on Southeastern Dental Associates of Soddy Daisy's NPPES record is Nicholas Bowman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southeastern Dental Associates of Soddy Daisy's NPI active?
- Yes — Southeastern Dental Associates of Soddy Daisy's NPI (1790821148) is active in the NPPES registry as of the last update on 2013-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.