DR. MARTY WALTER LINDAHL (NPI# 1417063140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417063140 |
| Entity Type | Individual |
| Full Name | DR. MARTY WALTER LINDAHL |
| Credential | D.D.S. |
| Practice Address |
2625 Old Niles Ferry Rd Maryville TN 37803-0553 |
| Practice Telephone | 8659834444 |
| Practice Fax Number | 8659839484 |
| Mailing Telephone | 8659834444 |
| Mailing Fax Number | 8659839484 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS 7382 | TN | Dental Providers |
| Street Address |
2625 OLD NILES FERRY RD |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37803-0553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669964672 | Mary Kathleen Gravatt | Physical Therapy Assistant | 1750 Linda Ln, Maryville, TN 37803 | 2018-06-05 |
| 1235350828 | Thomas Robert Schlitt | Physical Therapist | 833 Lawrence Avenue, Maryville, TN 37803 | 2007-05-01 |
| 1437278769 | Selena Lynette Reed | Dietitian, Registered | 1759 Old Niles Ferry Rd, Maryville, TN 37803 | 2007-03-28 |
| 1386775641 | Mary W Tucker | Nurse Practitioner | 116 Chantilly Lane, Maryville, TN 37803 | 2007-03-08 |
| 1518098045 | Wal-mart Stores East, L.p. | Technician/Technologist | 2410 Us Hwy 411 South, Maryville, TN 37803 | 2007-03-08 |
| 1265529069 | Robert F Fekete | Pharmacist | 1524 Woodward Court, Maryville, TN 37803 | 2006-10-05 |
| 1336234848 | Edwin Terry Webb | Pharmacist | 131 Montgomery Lane, Maryville, TN 37803 | 2006-10-03 |
| 1891793014 | Rebecca Lynn Bunch | Counselor | 627 Smithview Drive, Maryville, TN 37803 | 2005-07-12 |
| 1770788895 | Janaan Manney Branch | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-06-19 |
| 1396860185 | Caroline Rech | Registered Nurse | 627 Smithview Drive, Maryville, TN 37803 | 2007-03-20 |
| Find all providers in zip 37803 | ||||
| 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 |
|---|---|---|---|---|
| 1811463334 | Thomas Spencer Jackson | Dentist | 1507 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2018-10-23 |
| 1669801734 | Patrick Huelsmann | Dentist | 2933 Maryville Rd, Maryville, IL 62062-5400 | 2013-11-08 |
| 1447545975 | George Albert Hall | Dentist | 315 Whitecrest Drive, Maryville, TN 37801-3889 | 2011-06-13 |
| 1386936011 | Compass Dental Group, LLC | Dentist | 231 E Summit Dr, Maryville, MO 64468-3617 | 2011-05-13 |
| 1801116272 | Crestview Dental Care, P.C. | Dentist | 1850 Crest Road, Maryville, TN 37804-4305 | 2010-06-08 |
| 1679709612 | Patrick M Jordan | Dentist | 2825 S Main St, Maryville, MO 64468-3605 | 2009-06-04 |
| 1447412630 | Robert Ramsey | Dentist | 331 W Broadway Ave, Maryville, TN 37801-4707 | 2008-06-28 |
| 1760652812 | Ronald W Spencer | Dentist | 207 Southdowne Dr, Maryville, TN 37801-3747 | 2008-03-05 |
| 1679786578 | Leon Charles Yount | Dentist | 527 W Lamar Alexander Pkwy, Maryville, TN 37801-4701 | 2007-05-07 |
| 1326260647 | Dental Professionals of Illinois, P.C. | Dentist | 4971 S. State Rte 159, Maryville, IL 62062 | 2007-05-03 |
| Find all providers in MARYVILLE | ||||
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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.