Deborah E. Vantine, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0000005215 Issued in TN

Practice address

975 Emergency Drive
Blountville, TN 37617

Phone

(423) 279-2677

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Sullivan

  • Public Health or Welfare Agency
  • Blountville, TN
  • NPI 1689896268
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194933242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 WAHOO VALLEY RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376633914",
            "telephone_number": "423-967-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 EMERGENCY DRIVE",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "37617",
            "telephone_number": "423-279-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANTINE",
        "first_name": "DEBORAH",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "0000005215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keisha Wytoka Thompson, RN
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• Brittany Nichole Turner, RN
• Sheri Turner, RD
• Volunteer Medical Devices
• Walgreen Co.
• Rebecca Leasie Wallace, PTA
• Stephanie Lynette Ward, LMT
• Toni Waye

• All providers in Blountville, TN
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.