Shianne Sumer Milbourn
Individual provider Active NPI Dentist · New Tazewell, TN
NPI 1033051644 · NPPES record last updated Jun 4, 2026
Key facts
- NPI
- 1033051644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 13184 (TN)
- Practice address
- 408 Sr-33
New Tazewell, TN 37825 - Phone
- (423) 562-4766
- NPI assigned
- Apr 6, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aces Dental, PLLC | Past |
Accepting new patients | |
| Shel Dental Center | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 13184 | TN | Yes |
Addresses
Primary practice location
408 Sr-33
New Tazewell, TN 37825
Mailing address
2257 Jackboro Pike
Lafollette, TN 37766
Phone (423) 562-4766
Other providers in New Tazewell, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.