Dickenson Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9681 Issued in TN

Legal business name

DICKENSON DENTAL

Practice address

2620 Mineral Springs Ave
Knoxville, TN 37917-1569

Phone

(865) 688-4442

NPI assigned

Jun 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Brent M Dickenson, DDSNPI 1689013872

Title

Dentist

Phone

(865) 314-3859

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Brent M. Dickenson, D.D.S.

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1689013872
  NPD (past) Authorized official

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1043730005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10323 EVENING RIDGE LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379227244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 MINERAL SPRINGS AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379171569",
            "telephone_number": "865-688-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKENSON DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "DICKENSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "865-314-3859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "9681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dick, PA-C
• Kylee Blair Dick
• Jessica Dickens, MD
• Patrick Dickens
• Samantha Dickens
• Brent M. Dickenson, D.D.S.
• Russell Eric Dickenson, PA-C
• David Wesley Dickey III, DDS
• Pamela Austin Dickey, LCSW
• Katherine Dickinson

• Dental Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.