Zander Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

9426 Issued in TN

Legal business name

ZANDER DENTISTRY PLLC

Doing business as

Crossville Smiles

Practice address

289 Highland SQ
Crossville, TN 38555-5105

Phone

(931) 484-3664

Fax

(931) 707-5640

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Horvath, DDS

Title

Owner/Dentist

Phone

(931) 484-3664

Specialties & licenses 2

Addresses

Other names 1

• Crossville Smiles Doing business as

Locations

Practitioners 1

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

• Charles Joseph Krusa, D.D.S.

  • General Practice Dentistry
  • Crossville, TN
  • NPI 1497746440
  NPD (past)

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1285133553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 HIGHLAND SQ",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555105",
            "telephone_number": "931-484-3664",
            "fax_number": "931-707-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 HIGHLAND SQ",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555105",
            "telephone_number": "931-484-3664",
            "fax_number": "931-707-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANDER DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "HORVATH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "931-484-3664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "9426",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "10272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossville Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wyndridge Health Systems
• Wyndridge TN Opco LLC
• Ashley Elizabeth Young, RN
• Brant R Young, PHARMD
• William M. Young, M.D..
• Jeraldine A Ziegele, LPC/MHSP

• Dental Clinic/Center in Crossville, TN
• Providers in Crossville, 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 1, 2018; 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.