Scenic City Smiles PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SCENIC CITY SMILES PLLC

Doing business as

Scenic City Orthodontics of Cleveland

Practice address

4300 Peerless Rd NW Ste 100
Cleveland, TN 37312-3730

Phone

(423) 855-4201

Fax

(423) 855-4203

NPI assigned

Oct 31, 2024

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tathia Mattila

Title

Director of Operations

Phone

(423) 314-7529

Specialties & licenses 1

Addresses

Other names 1

• Scenic City Orthodontics of Cleveland Doing business as

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.

• Tyler Prentice, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chattanooga, TN
  • NPI 1164748893
  NPD

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1275355059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 PEERLESS RD NW STE 100",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123730",
            "telephone_number": "423-855-4201",
            "fax_number": "423-855-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PEERLESS RD NW STE 100",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123730",
            "telephone_number": "423-855-4201",
            "fax_number": "423-855-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC CITY SMILES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "MATTILA",
        "authorized_official_first_name": "TATHIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "423-314-7529"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scenic City Orthodontics of Cleveland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Gabrielle Alfonso Santos, DDS
• Sarath B Gangavarapu MD PC (Pinnacle Psychiatric Services)
• Julie Katelyn Savage, ATC
• Savior Mobile Life Tracker
• Megan L Scarborough, PHARMD
• Victoria Scheller
• Barratt Lee Schichtel, FNP
• Savannah Schield, RBT
• Deborah Deree' Schilling, RN
• Beth Ann Schnars, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.