Rocky Top Dental Services LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROCKY TOP DENTAL SERVICES LLC

Practice address

800 S Gay St Ste P325
Knoxville, TN 37929-9749

Phone

(678) 761-5947

NPI assigned

Feb 5, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Maxwell Jani

Title

Sr. Director of Efficiency Services

Phone

(678) 761-5947

Specialties & licenses 2

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Lawton Carter IV, DDS

  • General Practice Dentistry
  • Powell, TN
  • NPI 1881584852
  NPD (past)
• Gina Roxanne Pittenger, D.D.S., M.ED.

  • Counselor
  • Knoxville, TN
  • NPI 1538298450

  General Practice

  NPD (past)
• Reanna Lee Wicker, DDS

  • Dentist
  • Powell, TN
  • NPI 1205671138
  NPD (past)
• Justin Patrick Willson, DDS

  • Dentist
  • Sevierville, TN
  • NPI 1083597603
  NPD (past)

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1265246557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S GAY ST STE P325",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379299749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S GAY ST STE P325",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379299749",
            "telephone_number": "678-761-5947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7315 Clinton Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Powell",
            "state": "TN",
            "postal_code": "378495225",
            "country_code": "US",
            "telephone_number": "865-938-6465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 Simmons Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379221943",
            "country_code": "US",
            "telephone_number": "423-839-1221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Glennhill Ln",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378626915",
            "country_code": "US",
            "telephone_number": "865-453-6789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2606 Greenway Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379181904",
            "country_code": "US",
            "telephone_number": "678-761-5947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1133 E Morris Blvd",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378135902",
            "country_code": "US",
            "telephone_number": "423-839-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROCKY TOP DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "SR. DIRECTOR OF EFFICIENCY SERVICES",
        "authorized_official_telephone_number": "678-761-5947",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Scott Rocklein, PA-C
• Eric H Rockwell, PT
• Jessica Lindley Rockwell, RDH
• Rocky Hill Pharmacy, LLC
• Rocky Top Chiropractic LLC
• Rocky Top Pediatric Dentistry, LLC
• Brittany N Roddy
• Jennifer Rodefer
• Madelyn Rodeffer, MS, CLS
• Rhonda Leann Rodeffer, LPN

• Dental Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.