Organization Active NPI

Greenville Dental Associates, PLLC

  • General Practice Dentistry
  • Greeneville, TN
National Provider Identifier
1043458128
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7991 Issued in TN
Legal business name
GREENVILLE DENTAL ASSOCIATES, PLLC
Practice address
1308 Tusculum Blvd.
Greeneville, TN 37745
Phone
(423) 639-6120
Fax
(423) 525-4580
NPI assigned
Jan 28, 2009
Last updated
Jan 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Amy ArmstrongNPI 1366427486
Title
Owner/Dentist
Phone
(423) 639-6120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7991 TN Primary

Addresses

Primary practice location

1308 Tusculum Blvd.
Greeneville, TN 37745

Mailing address

1308 Tusculum Blvd.
Greeneville, TN 37745
Phone (423) 639-6120

Other names 1

  • Greenville Dental Associates, PC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1043458128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 TUSCULUM BLVD.",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "37745",
            "telephone_number": "423-639-6120",
            "fax_number": "423-525-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 TUSCULUM BLVD.",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "37745",
            "telephone_number": "423-639-6120",
            "fax_number": "423-525-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "423-639-6120"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenville Dental Associates, PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.