ROCKY TOP PEDIATRIC DENTISTRY, LLC (NPI# 1851756423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851756423 |
| Entity Type | Organization |
| Organization Name | ROCKY TOP PEDIATRIC DENTISTRY, LLC |
| Practice Address |
10261 Kingston Pike Knoxville TN 37922-3276 |
| Practice Telephone | 8656911404 |
| Practice Fax Number | 8656910836 |
| Mailing Telephone | 8656911404 |
| Mailing Fax Number | 8656910836 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | LEAYNNE SELLERS (OFFICE MANAGER) |
| Authorized Official Telephone | 8656911404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
9858 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q006211 | 05 |
| Street Address |
10261 KINGSTON PIKE |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37922-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033135546 | Jeffery B Arrowood | Dentist | 10261 Kingston Pike, Knoxville, TN 37922-3276 | 2006-07-15 |
| 1487264321 | Amanda Mccune | Psychologist | 10261 Kingston Pike, Knoxville, TN 37922-3276 | 2020-08-05 |
| 1194147421 | James T. Deberry, Jr., Dds, Ms, PC | Dentist | 10261 Kingston Pike, Knoxville, TN 37922-3276 | 2014-01-06 |
| 1225279359 | James Turner Deberry Jr. | Dentist | 10261 Kingston Pike, Knoxville, TN 37922-3276 | 2009-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184132185 | Kimberly Zitko | Pharmacist | 400 Goody's Lane, Knoxville, TN 37922 | 2018-01-12 |
| 1366959314 | Matthew Smith | Physician Assistant | 1424 Randall Park Dr, Knoxville, TN 37922 | 2017-12-29 |
| 1174052823 | 24/7 Healthcare, Inc. | Nursing Care | 110 Center Park Drive, Suite 101, Knoxville, TN 37922 | 2017-06-07 |
| 1023543477 | Open Arms Care Corp | Intermediate Care Facility, Mentally Retarded | 12625 S Northshore Dr, Knoxville, TN 37922 | 2017-04-24 |
| 1275905440 | Milligan Surgical Associates, Pllc | Surgery | 1919 Pinnacle Pointe Way, Knoxville, TN 37922 | 2015-10-27 |
| 1275904096 | Medical Necessities & Services LLC | Durable Medical Equipment & Medical Supplies | 9327 S Northshore Dr, Knoxville, TN 37922 | 2015-10-20 |
| 1841668126 | Chad Szala | Behavioral Analyst | 10721 Chapman Hwy #22, Knoxville, TN 37922 | 2015-09-03 |
| 1275916470 | Nikki Nicole Peoples | Acupuncturist | 10406 Jackson Oaks Way Ste A, Knoxville, TN 37922 | 2015-07-07 |
| 1538577747 | Susan Carter | Optometrist | 2053 Thunderhead Rd, Knoxville, TN 37922 | 2014-07-31 |
| 1366868135 | Heartland Infusion | Clinic/Center | 9943 Kingston Pike, Knoxville, TN 37922 | 2014-03-17 |
| Find all providers in zip 37922 | ||||
| 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 |
|---|---|---|---|---|
| 1649879271 | Knoxville Pediatric Dentistry, Pllc | Dentist | 2944 Tazewell Pike Ste 1, Knoxville, TN 37918-1990 | 2020-10-24 |
| 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 |
| 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 | ||||
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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.