Active NPI
Arch Dental PLLC
- General Practice Dentistry
- South Pittsburg, TN
National Provider Identifier
1235042607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ARCH DENTAL PLLC
- Practice address
- 1904 S Cedar Ave
South Pittsburg, TN 37380-1486 - Phone
- (423) 702-0251
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- 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
- Andrew Lisy, DMD
- Title
- Dentist
- Phone
- (423) 702-0251
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1904 S Cedar Ave
South Pittsburg, TN 37380-1486
Mailing address
1904 S Cedar Ave
South Pittsburg, TN 37380-1486
Phone (423) 702-0251
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.
-
- Dentist
- Bessemer, AL
- NPI 1790477438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1235042607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1904 S CEDAR AVE",
"city": "SOUTH PITTSBURG",
"state": "TN",
"postal_code": "373801486",
"telephone_number": "423-702-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 S CEDAR AVE",
"city": "SOUTH PITTSBURG",
"state": "TN",
"postal_code": "373801486",
"telephone_number": "423-702-0251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARCH DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "LISY",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "423-702-0251",
"authorized_official_credential": "DMD"
},
"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 South Pittsburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.