DR. CALEB BLACKBURN (NPI# 1215433685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215433685 |
| Entity Type | Individual |
| Full Name | DR. CALEB BLACKBURN |
| Credential | DDS |
| Practice Address |
7405 Bennington Dr Knoxville TN 37909-2406 |
| Practice Telephone | 2255731947 |
| Mailing Telephone | 2255731947 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 11259 | TN | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | TN | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7500 Cambridge St Ste 6510, Houston, TX 770542032 | 7134864052 |
| Street Address |
7405 BENNINGTON DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37909-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326687534 | Rosalie Ting Mcglashen | Behavioral Analyst | 1508 Coleman Rd., Suites 105 and 110, Knoxville, TN 37909 | 2020-01-06 |
| 1770133597 | Renewal Healthcare | Family Medicine | 7035 Middlebrook Pike, Knoxville, TN 37909 | 2019-09-13 |
| 1417461211 | Lean Knox, LLC | Family Medicine | 1415 Old Weisgarber Rd. Ste 350, Knoxville, TN 37909 | 2017-12-01 |
| 1750757514 | Victor Brown | Counselor | 1451 Dowell Springs Blvd., Knoxville, TN 37909 | 2015-08-17 |
| 1083012488 | Melissa Wells Woodby | Marriage & Family Therapist | 6305 Lonas Dr, Knoxville, TN 37909 | 2014-12-17 |
| 1417375700 | David Francis Fair | Chiropractor | 1720 Tonalea Rd, Knoxville, TN 37909 | 2014-04-03 |
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1376971085 | Quality Health Clinic LLC | Clinic/Center | 7348 Middlebrook Pike Suite D, Knoxville, TN 37909 | 2013-10-16 |
| 1952737942 | Martirea Fostine Jenkins Pratt | Nurse Practitioner | 930 Adell Ree Park Lane, Knoxville, TN 37909 | 2013-09-23 |
| 1104259324 | Dana Michelle Sweitzer | Nurse Practitioner | 1320 Old Weisgarber Road, Knoxville, TN 37909 | 2013-08-12 |
| Find all providers in zip 37909 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942862420 | Kasey Reed Sliger | Dentist | 6001 Walden Dr Ste 1, Knoxville, TN 37919-6355 | 2019-07-03 |
| 1528620283 | John Hollingsworth | Dentist | 7560 Chapman Hwy, Knoxville, TN 37920-6684 | 2019-07-02 |
| 1225696115 | Alivia Shasteen | Dentist | 7418 Norris Fwy, Knoxville, TN 37938-4219 | 2019-06-05 |
| 1356837132 | Landon Tyler Bowland | Dentist | 1417 Kensington Dr, Knoxville, TN 37922-6039 | 2018-07-05 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1639529845 | Sangita Dental LLC | Dentist | 9310 Emerald Woods Way, Knoxville, TN 37922-4259 | 2016-06-18 |
| 1053779793 | Zachary Fields | Dentist | 6311 Kingston Pike Ste 27w, Knoxville, TN 37919-4900 | 2016-02-09 |
| 1992161400 | Carl Porter Redmon | Dentist | 5623 Barineau Hill Ln, Knoxville, TN 37920-7907 | 2016-01-13 |
| 1578931119 | Andrew Rex Patten | Dentist | 2939 Essary Dr Ste 2, Knoxville, TN 37918-2464 | 2015-09-14 |
| 1104226398 | Anthony Martin Dmd, Inc. | Dentist | 161 Capital Dr, Suite 101, Knoxville, TN 37922-3392 | 2014-08-26 |
| 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.