Eddie C Towles, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4657 Issued in KY

Practice address

640 W Highway 92 Ste 3
Williamsburg, KY 40769-1936

Phone

(606) 765-6080

NPI assigned

May 17, 2007

Last updated

May 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shel Dental Center

  • Dentist
  • La Follette, TN
  • NPI 1326106113
  NPD (past) Authorized official
• Aces Dental, PLLC

  • General Practice Dentistry
  • La Follette, TN
  • NPI 1760013007
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1265649172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S MAIN ST",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377622154",
            "telephone_number": "606-765-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 W HIGHWAY 92 STE 3",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691936",
            "telephone_number": "606-765-6080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2257 Jacksboro Pike",
            "address_purpose": "LOCATION",
            "city": "LA Follette",
            "state": "TN",
            "postal_code": "377662904",
            "country_code": "US",
            "telephone_number": "423-562-4766",
            "fax_number": "423-562-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOWLES",
        "first_name": "EDDIE",
        "middle_name": "C",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS2996",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "4657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Jordan Sulfridge, DVM
• Ciera D Swords
• Matthew Testa, OD
• Clayton Thomas, PA-C
• Lesley Anne Tipton, PA-C
• University of the Cumberlands
• Jeannie Marie Vorbeck, MS, OTR/L
• Jennifer Lynn Wake-Floyd, MS, ATC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1048)
• Wal-Mart Stores East, LP (Vision Center 30-1048)

• General Practice Dentistry in Williamsburg, KY
• Providers in Williamsburg, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.