KNOXVILLE PEDIATRIC DENTISTRY, PLLC (NPI# 1649879271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649879271 |
| Entity Type | Organization |
| Organization Name | KNOXVILLE PEDIATRIC DENTISTRY, PLLC |
| Practice Address |
2944 Tazewell Pike Ste 1 Knoxville TN 37918-1990 |
| Practice Telephone | 8655225437 |
| Practice Fax Number | 8655881862 |
| Mailing Telephone | 8655225437 |
| Mailing Fax Number | 8655881862 |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-10-24 |
| Authorized Official Name | CEANN GERRITY (OFFICE MANAGER) |
| Authorized Official Telephone | 8655225437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447627914 | Knoxville Pediatric Dentistry, Pllc | Dentist | 1150 Fox Meadows Blvd, Suite 2, Sevierville, TN 37862-6940 | 2015-08-31 |
| 1750720108 | Knoxville Pediatric Dentistry, Pllc | Dentist | 10910 Kingston Pike Unit 105, Knoxville, TN 37934-2948 | 2013-06-19 |
| 1447418736 | Knoxville Pediatric Dentistry, Pllc | Dentist | 705 Gate Lane, Suite 101, Knoxville, TN 37909 | 2008-05-23 |
| Street Address |
2944 TAZEWELL PIKE STE 1 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-1990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| 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 |
|---|---|---|---|---|
| 1477755700 | Phillip B Powell | Dentist | 1516 Coleman Rd, Ste 208, Knoxville, TN 37909-3809 | 2007-05-31 |
| 1497825376 | Darryl Edward Phillips | Dentist | 323 Fox Rd, Suite 100, Knoxville, TN 37922-3383 | 2006-11-08 |
| 1538172713 | Mark Williams Crumpton | Dentist | 1516 Coleman Rd Ste 201, Knoxville, TN 37909-3809 | 2006-08-15 |
| 1033135546 | Jeffery B Arrowood | Dentist | 10261 Kingston Pike, Knoxville, TN 37922-3276 | 2006-07-15 |
| 1942284732 | Joseph Reed Townsend IIi | Dentist | 705 Gate Ln, Suite 101, Knoxville, TN 37909-3518 | 2005-12-05 |
| 1366430597 | Mike Douglas Mysinger | Dentist | 120 Capital Dr, Suite 101, Knoxville, TN 37922-3478 | 2005-10-12 |
| 1851756423 | Rocky Top Pediatric Dentistry, LLC | Dentist | 10261 Kingston Pike, Knoxville, TN 37922-3276 | 2015-12-23 |
| 1437557378 | Pediatric Dentistry PC | Dentist | 1516 Coleman Rd, Suite 201, Knoxville, TN 37909-3809 | 2014-12-09 |
| 1194147421 | James T. Deberry, Jr., Dds, Ms, PC | Dentist | 10261 Kingston Pike, Knoxville, TN 37922-3276 | 2014-01-06 |
| 1609211267 | East Tennessee Pediatric Dentistry Pllc | Dentist | 1103 Callahan Dr, Knoxville, TN 37912-1310 | 2013-05-08 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on KNOXVILLE PEDIATRIC DENTISTRY, PLLC.
| 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.