DR. JETT SCOTT ANDRICK (NPI# 1043394570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043394570 |
| Entity Type | Individual |
| Full Name | DR. JETT SCOTT ANDRICK |
| Credential | DDS |
| Practice Address |
2620 Mineral Springs Ave Suite B Knoxville TN 37917 |
| Practice Telephone | 8656884442 |
| Practice Fax Number | 8656884503 |
| Mailing Telephone | 8656884442 |
| Mailing Fax Number | 8656884503 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2016-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
TN4768 | TN | Dental Providers |
| Street Address |
2620 MINERAL SPRINGS AVE SUITE B |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033601786 | Angela Marie Barnett | Licensed Practical Nurse | 201 W Springdale Ave # 203, Knoxville, TN 37917 | 2018-05-30 |
| 1790283588 | Kevin Johnson | Case Manager/Care Coordinator | 201 W. Springfield Ave, Knoxville, TN 37917 | 2018-01-26 |
| 1871011437 | Sara Portwood | Registered Nurse | 140 Dameron Ave., Knoxville, TN 37917 | 2017-09-05 |
| 1962926295 | Dara Steele | Counselor | 201 West Springdale, Knoxville, TN 37917 | 2017-07-28 |
| 1043740657 | Stacy Banks | Counselor | 201 West Springdale Ave., Knoxville, TN 37917 | 2017-06-15 |
| 1861921215 | Amy J Mccowan | Registered Nurse | 201 W. Springdale Ave., Knoxville, TN 37917 | 2017-06-08 |
| 1942756523 | Skyler Daegan Winkler | Counselor | 201 West Springvale Avenue, Knoxville, TN 37917 | 2016-09-01 |
| 1821454216 | Beth Cannon | Case Manager/Care Coordinator | 201 West Sprindale Ave, Knoxville, TN 37917 | 2016-01-14 |
| 1760874986 | Sierra Brooke Finley | Case Manager/Care Coordinator | 201 W. Springdale Ave, Knoxville, TENNESSEE 37917 | 2015-02-25 |
| 1568860377 | Megumi Takayama Maynard | Family Medicine | 900 E. Oak Hill Avenue, Knoxville, TN 37917 | 2014-12-10 |
| Find all providers in zip 37917 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699336610 | Eric Michael Jones | Dentist | 202 E Robinson St, Knoxville, IA 50138-2235 | 2019-06-21 |
| 1447810809 | Drew Patchett | Dentist | 7731 Kingston Pike Ste 102, Knoxville, TN 37919-5519 | 2019-06-18 |
| 1174183990 | Malone & Costa, Pllc | Dentist | 264 S Peters Rd, Knoxville, TN 37923-5203 | 2019-06-14 |
| 1801374277 | Fred James Hollingsworth Jr. | Dentist | 9225 Westland Dr # 101, Knoxville, TN 37922-5216 | 2018-07-30 |
| 1689190688 | Erin Lee Noble | Dentist | 6414 Granite Hill Ln, Knoxville, TN 37923-8009 | 2017-08-21 |
| 1063952430 | Victor Hubbell Williams Pllc | Dentist | 10509 Hardin Valley Rd, Knoxville, TN 37932-1502 | 2017-03-03 |
| 1336545961 | Law Family Dentsitry, Pllc | Dentist | 10788 Hardin Valley Rd, Knoxville, TN 37932-1407 | 2014-11-10 |
| 1376976449 | Adult and Family Dentistry | Dentist | 5303 Jacksboro Pike, Knoxville, TN 37918-3328 | 2013-08-13 |
| 1609217470 | Sara B. Boren | Dentist | 122 Lynnwood Dr, Knoxville, TN 37918-3306 | 2013-07-09 |
| 1750720108 | Knoxville Pediatric Dentistry, Pllc | Dentist | 10910 Kingston Pike Unit 105, Knoxville, TN 37934-2948 | 2013-06-19 |
| Find all providers in KNOXVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.