SOUTHEAST MOBILE SMILES (NPI# 1427569664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427569664 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST MOBILE SMILES |
| Practice Address |
842 Brookshire Blvd Maryville TN 37803-6475 |
| Practice Telephone | 8654412527 |
| Mailing Telephone | 8654412527 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | MRS. CALLIE MICHELE FISHEL (DENTAL HYGIENIST) |
| Authorized Official Telephone | 8654412527 |
| Authorized Official Credential | RDH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
DS9854 | TN | Dental Providers |
| Street Address |
842 BROOKSHIRE BLVD |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37803-6475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437591021 | Karen Beth Brinkmann | Dental Hygienist | 842 Brookshire Blvd, Maryville, TN 37803-6475 | 2013-07-23 |
| 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 | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174004170 | Integrity Mobile Dental, LLC | Dentist | 802 S Crest Rd, Chattanooga, TN 37404-5923 | 2018-08-27 |
| 1962924738 | Good Life Healthcare Solutions, Inc | Dentist | 9329 Middlebrook Pike, Knoxville, TN 37931-4704 | 2017-07-12 |
| 1538540885 | Nickita R. Zaveri | Dentist | 1924 Alcoa Hwy # U-28, Knoxville, TN 37920-1511 | 2015-06-12 |
| 1861709024 | State of Tennessee | Dentist | 806 South Brown Street, Springfield, TN 37172 | 2010-09-09 |
| 1386862035 | James Albert Gillcrist | Dentist | 310 Great Circle Road, Nashville, TN 37243 | 2007-04-20 |
| 1215088216 | Delana Faye Horton | Dentist | 1233 Sw Ave Ext, Johnson City, TN 37604-6519 | 2007-01-16 |
| 1962552927 | Barry L Hopper | Dentist | 975 Emergency Rd., Blountville, TN 37617-0630 | 2007-01-11 |
| 1275611600 | Delia Fernandez | Dentist | 703 N. Main St., Mt. Pleasant, TN 38474 | 2006-11-02 |
| 1922026020 | Gary Lee Yarrington | Dentist | 150 Debra Road, Vaopc 6200 Bldg-, Chattanogga, TN 37411 | 2006-07-17 |
| 1578533915 | Ronald James Salage | Dentist | 710 North Main St, Suite A Anderson County Health Dept, Clinton, TN 37716 | 2006-01-26 |
| Find all providers with the same taxonomy | ||||
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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.