TENNESSEE DENTAL PROFESSIONALS, PC (NPI# 1174000780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174000780 |
| Entity Type | Organization |
| Organization Name | TENNESSEE DENTAL PROFESSIONALS, PC |
| Other Organization Name | SECRET CITY DENTAL CARE |
| Practice Address |
349 S Illinois Ave Ste 300 Oak Ridge TN 37830-6756 |
| Mailing Address |
351 S Illinois Ave Oak Ridge TN 37830-6756 |
| Practice Telephone | 2175405100 |
| Mailing Telephone | 8652722806 |
| Mailing Fax Number | 8652722767 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-10-02 |
| Authorized Official Name | JESSICA BRITT (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175408426 |
| Is Organization Subpart | Y |
| Parent Organization Name | TENNESSEE DENTAL PROFESSIONALS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Secret City Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268132 | Tennessee Dental Professionals, PC | Dentist | 3817 Bedford Ave Ste 110, Nashville, TN 37215-2534 | 2020-09-01 |
| 1639712763 | Tennessee Dental Professionals, PC | Dentist | 9915 Macon Rd, Cordova, TN 38016-6637 | 2019-10-22 |
| 1023572096 | Tennessee Dental Professionals, PC | Dentist | 609 Paul Huff Pkwy Nw, Cleveland, TN 37312-2970 | 2019-01-24 |
| 1568932341 | Tennessee Dental Professionals, PC | Dentist | 1730 Lee Victory Pkwy, Smyrna, TN 37167-6674 | 2018-12-05 |
| 1003329285 | Tennessee Dental Professionals, PC | Dentist | 1055 W Poplar Ave, Collierville, TN 38017-3180 | 2017-11-10 |
| 1477066652 | Tennessee Dental Professionals, PC | Dentist | 8790 Walnut Grove Rd, Cordova, TN 38018-4379 | 2017-11-10 |
| 1750732228 | Tennessee Dental Professionals, PC | Dentist | 574 E Emory Rd, Powell, TN 37849-3519 | 2016-06-27 |
| 1891168183 | Tennessee Dental Professionals, PC | Dentist | 2030 Crossing Circle, Spring Hill, TN 37174 | 2015-11-09 |
| 1861861056 | Tennessee Dental Professionals, PC | Dentist | 840 Nissan Drive, Smyrna, TN 37167 | 2015-09-18 |
| 1932707320 | Tennessee Dental Professionals, PC | Dentist | 1890 N Germantown Pkwy Ste 105, Cordova, TN 38016-3325 | 2020-10-16 |
| Street Address |
349 S ILLINOIS AVE STE 300 |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| 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 |
|---|---|---|---|---|
| 1962975755 | Phillips and Rust Dds LLC | Dentist | 400 Laboratory Rd Ste 101, Oak Ridge, TN 37830-6808 | 2019-01-04 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1699202507 | Christopher David Lee | Dentist | 400 Laboratory Rd Ste 107, Oak Ridge, TN 37830-6801 | 2017-05-23 |
| 1487941746 | Division Dental P.C. | Dentist | 138 E Division Rd, Oak Ridge, TN 37830-6906 | 2011-07-06 |
| 1558505255 | Dinsmore and Williams Pllc | Dentist | 150 E Division Rd Ste 6, Oak Ridge, TN 37830-6908 | 2009-04-24 |
| 1720232028 | Joanne Dolorita Szemborski | Dentist | 5726 Berkshire Valley Rd., Oak Ridge, NJ 07438 | 2008-11-13 |
| 1912124587 | Steven Glenn Hammons | Dentist | 508 Scarboro Ln, Oak Ridge, TN 37830-7379 | 2007-04-18 |
| 1356471064 | Matthew Devaney, Dds, Pa | Dentist | 1580 Nc Highway 68 N, Oak Ridge, NC 27310-9733 | 2007-03-06 |
| 1285761072 | John B Burgess | Dentist | 566 Oak Ridge Tpke, Oak Ridge, TN 37830-7164 | 2007-02-27 |
| 1811066236 | John Lawrence Soldano | Dentist | 661 Emory Valley Rd., Suite C, Oak Ridge, TN 37830 | 2006-11-07 |
| Find all providers in OAK RIDGE | ||||
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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.