Tusculum Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4696 Issued in TN

Legal business name

TUSCULUM DENTAL CARE

Practice address

22 Norton Rd
Greeneville, TN 37745-3065

Phone

(423) 639-7575

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Craig A. ShepherdNPI 1831177849

Title

Owner

Phone

(423) 639-7575

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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.

• Craig Allen Shepherd, D.D.S.

  • Dentist
  • Greeneville, TN
  • NPI 1831177849
  NPD (past) Authorized official
• Nathaniel A Renner, D.D.S.

  • General Practice Dentistry
  • Greeneville, TN
  • NPI 1366464505
  NPD (past)

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1255502944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NORTON RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453065",
            "telephone_number": "423-639-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NORTON RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453065",
            "telephone_number": "423-639-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSCULUM DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-639-7575",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "0016543",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN",
            "identifier": "0103526",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trula Cronk Home for Children LLC
• Wade T Tugman, RPH,PHARMD
• Anil V Tumkur, MD
• Tiffany Leeann Turner
• Tusculum
• Tusculum Physician Services PC
• Tusculum University (Tusculum Sports Medicine)
• Cindy M Tvardy, MED, LMFT
• George S Tvardy
• Gregory Uhl, MD

• General Practice Dentistry in Greeneville, TN
• Providers in Greeneville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.