Blue Dog Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

BLUE DOG FAMILY DENTISTRY

Practice address

10825 Hardin Valley Rd
Knoxville, TN 37932-1410

Phone

(865) 338-3098

Fax

(865) 338-3104

NPI assigned

Jul 2, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tristen Smith, DDSNPI 1841671732

Title

Owner

Phone

(616) 885-2345

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tristen Smith

  • Dentist
  • Lansing, MI
  • NPI 1841671732
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1023907151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10825 HARDIN VALLEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321410",
            "telephone_number": "865-338-3098",
            "fax_number": "865-338-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10825 HARDIN VALLEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321410",
            "telephone_number": "865-338-3098",
            "fax_number": "865-338-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DOG FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-885-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNKNOWN",
            "identifier": "1871143826",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blooming Tree Homes LLC
• Blooming Tree Homes LLC
• Kelly Blosser, BCABA
• Gerald Blossom, M.D.
• Blount Orthopaedic Associates PA
• Blue Horizon Marriage and Family Therapy Inc
• Amelie Fernandez Ruazol Blue, LMSW
• Charles Thurber Blue, MD
• Elena Arlene Blue
• Stacy E Blue, BS

• All providers in Knoxville, TN
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.