Healthcare Provider Details

I. General information

NPI: 1225761869
Provider Name (Legal Business Name): EMILY CODY INGALLS DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 E COLLEGE ST
PULASKI TN
38478-4315
US

IV. Provider business mailing address

2001 WIMBLEDON CIR
FRANKLIN TN
37069-1865
US

V. Phone/Fax

Practice location:
  • Phone: 931-363-1388
  • Fax:
Mailing address:
  • Phone: 757-810-9138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN27145
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number12962
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: