Southeastern Dental Pllc
Southeastern Dental Pllc is a healthcare organization registered as Dental Clinic/Center in Madison, TN, holding Type 2 (organization) NPI 1386209849 since 2019. The authorized official on file is Vickie Metcalf, Practice Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1386209849 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Southeastern Dental Pllc |
| Practice address | 117 GALLATIN PIKE N, Madison, TN, 37115 |
| Phone | 6158686177 |
| Enumeration date | 2019-05-09 |
| Last updated in NPPES | 2019-05-09 |
Authorized official
| Name | Vickie Metcalf |
|---|---|
| Title | Practice Administrator |
| Phone | 6155683258 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Southeastern Dental Pllc NPI: 1386209849 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 117 GALLATIN PIKE N, Madison, TN, 37115
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164592226 | Darren Foster | Individual | General Practice Dentistry | Madison, TN |
| 1801325667 | Sarah Moore | Individual | Dentist | Madison, TN |
| 1437984036 | Chermelle Waller-Boone | Individual | Dental Hygienist | Madison, TN |
Verify this record
Cross-check NPI 1386209849 against the authoritative CMS record: view Southeastern Dental Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Southeastern Dental Pllc?
What is the NPI number for Southeastern Dental Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-05-09.