Tn Southern Dental PPO
NPI 1245044346ActiveOrganization· Dentist· Murfreesboro, TN
Dentist in Murfreesboro, Tennessee, registered in NPPES in February 2025, part of Tn Southern Dental PPO. The authorized official on file is Erika Melissa Menjivar, Sr. Credentialing Specialist.
Overview
| NPI | 1245044346 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Tn Southern Dental PPO |
| NPI issued | Feb 7, 2025 |
| Last updated in NPPES | Feb 7, 2025 |
| Certified by provider | Feb 6, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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