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Southeastern Dental of Mt Juliet Pllc

Dental Clinic/Center in Mt Juliet, TN · enumerated 2019 · authorized official Vickie Metcalf, Practice Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1568021285

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Registry record

Entity type Organization (Type 2)
Legal business name Southeastern Dental of Mt Juliet Pllc
Practice address 631 S Mount Juliet Rd, Mt Juliet, TN, 37122
Phone (615) 754-6677
Fax (615) 773-5002
Enumeration date Jun 6, 2019
Last updated in NPPES Jun 6, 2019

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Vickie Metcalf
Title Practice Administrator
Phone (615) 568-3258

Other identifiers

Identifier Type State Issuer
1164592226 Other - DARREN FOSTER, DDS
1700203007 Other - R. W. ARCHER
1932652302 Other - KINJAL VORA, DDS

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.

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Frequently asked questions

Who is the authorized official for Southeastern Dental of Mt Juliet Pllc?
NPPES lists Vickie Metcalf (Practice Administrator) as the authorized official for this organization.
What is the NPI number for Southeastern Dental of Mt Juliet Pllc?
The NPI for Southeastern Dental of Mt Juliet Pllc is 1568021285, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-06.