EAST TENNESSEE PERIODONTICS, LLC (NPI# 1215426853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215426853 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE PERIODONTICS, LLC |
| Practice Address |
2040 Castaic Ln Knoxville TN 37932-1557 |
| Practice Telephone | 8652460460 |
| Practice Fax Number | 8654820592 |
| Mailing Telephone | 8652460460 |
| Mailing Fax Number | 8654820592 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | DR. ROBERT CRAIG CAIN (OWNER) |
| Authorized Official Telephone | 8652460460 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Street Address |
2040 CASTAIC LN |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37932-1557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396667 | Robert Craig Cain | Dentist | 2040 Castaic Ln, Knoxville, TN 37932-1557 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265935589 | Jazmin Lowe | Nurse Practitioner | 9711 Sherrill Blvd Ste 201, Knoxville, TN 37932 | 2018-03-13 |
| 1619498649 | Brittney Danyelle Trent | Occupational Therapist | 120 Cavette Hill Lane, Farragut, TN 37932 | 2017-06-29 |
| 1891222634 | William M. Hogan, Md, Pllc | Psychiatry & Neurology | 1432 Hickey Road, Knoxville, TN 37932 | 2017-05-11 |
| 1487006193 | Cheryl Ann Williams | Occupational Therapist | 13029 George Lovelace Lane, Knoxville, TN 37932 | 2016-07-06 |
| 1760876627 | Institute for Female Pelvic Medicine,pllc | Urology | 10133 Sherrill Blvd Suite 100, Century Park, Knoxville, TN 37932 | 2015-03-27 |
| 1669877965 | Melissa Raymond | Nurse Practitioner | 550 Frank Gardner Lane, Knoxville, TN 37932 | 2014-10-29 |
| 1811186059 | Mia J Guillory | Optometrist | 10841 Hardin Valley Rd, Knoxville, TN 37932 | 2007-10-23 |
| 1427264555 | Amy Hill Shugart | Physical Therapist | 10710 Murdock Dr Ste 102, Knoxville, TN 37932 | 2007-05-15 |
| 1871626895 | East Tennessee Emg, Inc. | Physical Therapist | 614 Mabry Hood Road, Suite #301, Knoxville, TN 37932 | 2007-03-13 |
| 1083773584 | Summit View Health Management, Inc. | Durable Medical Equipment & Medical Supplies | 10805 Harding Dr., Knoxville, TN 37932 | 2006-12-08 |
| Find all providers in zip 37932 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1184875627 | Michael Patrick Madigan | Dentist | 117 Capital Dr, Knoxville, TN 37922-3393 | 2008-10-02 |
| 1659579472 | Matthew L Heaton | Dentist | 140 E Market Place Blvd, Knoxville, TN 37922 | 2007-07-03 |
| 1376764688 | Ronald Loy Kilgore | Dentist | 8912 Town and Country Circle, Knoxville, TN 37923-4900 | 2007-05-02 |
| 1083700389 | William Eugene Rogers | Dentist | 140 Market Place Blvd, Bldg E, Knoxville, TN 37922-2337 | 2006-10-05 |
| 1386754091 | Lee Ann Hovious | Dentist | 10265 Kingston Pike Ste B, Knoxville, TN 37922-3241 | 2006-08-30 |
| 1629062716 | Danny Adkins | Dentist | 1301 Old Weisgarber Rd, Knoxville, TN 37909-1284 | 2005-09-06 |
| 1851396667 | Robert Craig Cain | Dentist | 2040 Castaic Ln, Knoxville, TN 37932-1557 | 2005-06-17 |
| 1528293164 | Knoxville Periodontics, P.C. | Dentist | 140 Market Place Blvd, Knoxville, TN 37922-2337 | 2009-05-27 |
| 1407959075 | Jack Towler Bauguss | Dentist | 6311 Kingston Pike, 6w, Knoxville, TN 37919 | 2006-09-07 |
| 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.