Active NPI
Webb Dentistry PLLC
- General Practice Dentistry
- Bristol, TN
National Provider Identifier
1104419944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WEBB DENTISTRY PLLC
- Practice address
- 523 Holston Ave Ste 3
Bristol, TN 37620-2148 - Phone
- (423) 968-5112
- Fax
- (423) 968-5112
- NPI assigned
- Feb 12, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brenden Mark Webb, DDS
- Title
- Owner
- Phone
- (423) 968-5112
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
523 Holston Ave Ste 3
Bristol, TN 37620-2148
Mailing address
523 Holston Ave Ste 3
Bristol, TN 37620-2148
Phone (423) 968-5112
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Bristol, TN
- NPI 1316953516
-
- General Practice Dentistry
- Bristol, TN
- NPI 1164438362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613088000000",
"number": "1104419944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 HOLSTON AVE STE 3",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376202148",
"telephone_number": "423-968-5112",
"fax_number": "423-968-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 HOLSTON AVE STE 3",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376202148",
"telephone_number": "423-968-5112",
"fax_number": "423-968-5112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBB DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "BRENDEN",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-968-5112",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.