NORTHSHORE ENDODONTICS PC (NPI# 1538375175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538375175 |
| Entity Type | Organization |
| Organization Name | NORTHSHORE ENDODONTICS PC |
| Other Organization Name | JOHN E. SULLIVAN, JR, DDS, MS |
| Practice Address |
414 S Northshore Dr Knoxville TN 37919-7561 |
| Practice Telephone | 8652129680 |
| Practice Fax Number | 8657660554 |
| Mailing Telephone | 8652129680 |
| Mailing Fax Number | 8657660554 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN E SULLIVAN JR. (OWNER) |
| Authorized Official Telephone | 8652129680 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
01388 | TN | Dental Providers |
| Other Name | Type Code |
|---|---|
| John E. Sullivan, Jr, DDS, MS | Former Legal Business Name - Organization |
| Street Address |
414 S NORTHSHORE DR |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-7561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700029170 | John E Sullivan Jr. | Dentist | 414 S Northshore Dr, Knoxville, TN 37919-7561 | 2009-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811185010 | George Peter Suranyi | Dentist | 550 Town Creek Rd E Ste 202, Knoxville, TN 37772-6289 | 2007-10-12 |
| 1730373168 | Sam Alborz | Dentist | 7424 S Northshore Dr, Knoxville, TN 37919-8822 | 2007-08-29 |
| 1053539627 | Richard E. Moore, Dds, PC | Dentist | 11217 W Point Dr, Knoxville, TN 37934-2838 | 2007-04-20 |
| 1659469914 | Wallin Hasson Myers | Dentist | 103 Concord St, Knoxville, TN 37919 | 2006-10-11 |
| 1952315285 | D. Wayne Hughart, Dds, Ms, Pllc | Dentist | 121 S David Ln, Knoxville, TN 37922-3204 | 2006-07-29 |
| 1851361356 | Dentalworks, Dr. Mcfarlane & Associates (knoxville), P.C. | Dentist | 6727 Clinton Hwy, Knoxville, TN 37912-1000 | 2006-01-25 |
| 1003360009 | Powell Endo Pllc | Dentist | 6908 Office Park Cir, Knoxville, TN 37909-1161 | 2016-08-08 |
| 1265754378 | Donald Wayne Hughart | Dentist | 121 S David Ln, Knoxville, TN 37922-3204 | 2010-02-17 |
| 1649501230 | Richard Elliott Moore | Dentist | 11217 W Point Dr, Knoxville, TN 37934-2873 | 2010-01-20 |
| 1104154939 | Frank S. Balaban | Dentist | 8029 Ray Mears Blvd, Knoxville, TN 37919-2707 | 2009-12-07 |
| 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.