Active NPI
Rogersville Dental Center
- Dental Clinic/Center
- Rogersville, TN
National Provider Identifier
1215679410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ROGERSVILLE DENTAL CENTER
- Practice address
- 110 S Hasson St
Rogersville, TN 37857-3616 - Phone
- (606) 359-5815
- NPI assigned
- Apr 8, 2022
- Last updated
- Apr 8, 2022
- 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. Brent Cornette, DMD
- Title
- Owner
- Phone
- (606) 359-5815
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 |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | NU | Primary |
Addresses
Primary practice location
110 S Hasson St
Rogersville, TN 37857-3616
Mailing address
1500 Reynolds Hollow Rd
Greeneville, TN 37745-8368
Phone (063) 595-8156
National Provider Directory
National Provider DirectoryLocations
110 S Hasson St
Rogersville, TN 37857
Phone (423) 272-5353
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Greeneville, TN
- NPI 1881212900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649376000000",
"number": "1215679410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 REYNOLDS HOLLOW RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377458368",
"telephone_number": "063-595-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S HASSON ST",
"city": "ROGERSVILLE",
"state": "TN",
"postal_code": "378573616",
"telephone_number": "606-359-5815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROGERSVILLE DENTAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A",
"authorized_official_last_name": "CORNETTE",
"authorized_official_first_name": "BRENT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-359-5815",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogersville, TN
- Mariah M Rivera
- Tammy Lorraine Robbins, BSW
- Brooke Leanna Roberts, FNP-C
- Ronnie Robinette, RN
- Rogersville City Schools
- Rogersville Professional Pharmacy LLC (Medicine Shoppe)
- Rogersville Vision Clinic,PLLC
- Rural Health Services Consortium (Rural Health Services Pharmacy)
- Rural Health Services Consortium of Upper East Tennessee Inc (Hawkins Medical Center)
- Rural Health Services Consortium of Upper East Tennessee Inc (West Main Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.