Organization Active NPI

Webb Dentistry PLLC

  • General Practice Dentistry
  • Bristol, TN
National Provider Identifier
1104419944
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Dr. Brenden Mark Webb, DDSNPI 1316953516
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.