Dental Center, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

DS1918 Issued in TN

Legal business name

DENTAL CENTER, INC

Practice address

1005 Executive Dr
Suite 105
Hixson, TN 37343-7903

Phone

(423) 877-1286

Fax

(423) 877-1290

NPI assigned

Oct 24, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Franci D Raines

Title

Practice Manager

Phone

(423) 877-1286

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194808865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437903",
            "telephone_number": "423-877-1286",
            "fax_number": "423-877-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437903",
            "telephone_number": "423-877-1286",
            "fax_number": "423-877-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "FRANCI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "423-877-1286"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS1918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Gay Debter, D.C.
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• Matthew Dillard, MS, ATC, LAT

• Dentist in Hixson, TN
• Providers in Hixson, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.