Organization Active NPI

Knoxville Family Dental

  • Dental Clinic/Center
  • Knoxville, TN
National Provider Identifier
1073155511
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KNOXVILLE FAMILY DENTAL
Practice address
4947 Millertown Pike
Knoxville, TN 37917-2115
Phone
(865) 544-1711
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Authorized official

Name
Madeline Hoesten
Title
Vice President of Integration
Phone
(954) 675-3088

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4947 Millertown Pike
Knoxville, TN 37917-2115

Mailing address

3483 Coastline LN
Viera, FL 32940-6587
Phone (549) 675-3088

Other practice location 1

1740 Big Springs Rd
Maryville, TN 37801-8206
Phone (865) 681-7645

National Provider Directory

National Provider Directory

Locations

4947 Millertown Pike
Knoxville, TN 37917
Phone (865) 544-1711

1740 Big Springs Rd
Maryville, TN 37801
Phone (865) 681-7645

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1073155511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3483 COASTLINE LN",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406587",
            "telephone_number": "549-675-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4947 MILLERTOWN PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379172115",
            "telephone_number": "865-544-1711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 Big Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378018206",
            "country_code": "US",
            "telephone_number": "865-681-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KNOXVILLE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "HOESTEN",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF INTEGRATION",
        "authorized_official_telephone_number": "954-675-3088"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.