EAST TENNESSEE PEDIATRIC DENTISTRY AT OAK RIDGEPLLC. (NPI# 1568952505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568952505 |
| Entity Type | Organization |
| Organization Name | EAST TENNESSEE PEDIATRIC DENTISTRY AT OAK RIDGEPLLC. |
| Practice Address |
500 Oak Ridge Tpke Oak Ridge TN 37830-7109 |
| Practice Telephone | 8658590357 |
| Practice Fax Number | 8658590247 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | DR. JESSICA PHILLIPS (OWNER) |
| Authorized Official Telephone | 8658590355 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9446 | TN | Dental Providers |
| Street Address |
500 OAK RIDGE TPKE |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-7109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831208511 | Robert Lee Pryor | Dentist | 126 East Division Road, Oak Ridge, TN 37830 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879271 | Knoxville Pediatric Dentistry, Pllc | Dentist | 2944 Tazewell Pike Ste 1, Knoxville, TN 37918-1990 | 2020-10-24 |
| 1649886961 | Happy Teeth Pediatric Dentistry | Dentist | 129 Commons Dr, Martin, TN 38237-3882 | 2020-09-22 |
| 1144844879 | Dandridge Pediatric Dentistry | Dentist | 117 E Price Rd, Dandridge, TN 37725-4513 | 2020-05-28 |
| 1831711415 | Nashville Pediatric Dentistry | Dentist | 130 Seaboard Ln Ste A1, Franklin, TN 37067-8221 | 2020-05-18 |
| 1326685132 | East Nashville Pediatric Dentistry, Pllc | Dentist | 1077 E Trinity Ln Ste 104, Nashville, TN 37216-3067 | 2019-11-30 |
| 1285279836 | Lebanon Pediatric Dentistry, LLC | Dentist | 920 S Hartmann Dr, Lebanon, TN 37090-4018 | 2019-11-07 |
| 1225686157 | Brentwood Pediatric Dentistry Maryland Farms, Pllc | Dentist | 5109 Peter Taylor Park Dr Ste 100, Brentwood, TN 37027-7672 | 2019-09-04 |
| 1265087969 | Adventure Pediatric Dentistry, Pllc | Dentist | 6413 Lee Hwy Ste 119, Chattanooga, TN 37421-4861 | 2019-08-08 |
| 1942868336 | Juhn and Stark LLC | Dentist | 2333 Knob Creek Rd Ste 12, Johnson City, TN 37604-2007 | 2019-05-31 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 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.