Country Creek Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

10031 Issued in TN

Legal business name

COUNTRY CREEK DENTAL PLLC

Practice address

207 Kings CT
Alcoa, TN 37701-1939

Phone

(865) 983-6361

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Nathan La Monica, DMDNPI 1558709204

Title

Dentist

Phone

(775) 291-0075

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Nathan Charles La Monica, D.M.D.

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1558709204
  NPD (past) Authorized official
• Russell George Chambers, DDS

  • General Practice Dentistry
  • Alcoa, TN
  • NPI 1770572661
  NPD (past)
• Ute R Zolkowski, RDH

  • Dental Hygienist
  • Alcoa, TN
  • NPI 1447066121
  NPD (past)

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1306357447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 GILMORE LN",
            "city": "CORRYTON",
            "state": "TN",
            "postal_code": "377214128",
            "telephone_number": "775-291-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 KINGS CT",
            "city": "ALCOA",
            "state": "TN",
            "postal_code": "377011939",
            "telephone_number": "865-983-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY CREEK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "LA MONICA",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "775-291-0075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "10031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Collins
• Tommy Collins, M.D.
• Cara C Connors, M.D.
• Cody Michael Cook
• Greg S Cook, D.D.S.
• Covenant Medical Group, Inc
• Katherine Cox
• Holly Crim, M.D.
• Danielle Marie Curtis, MS
• Katherine Kesler Dabbs, M.D.

• Dental Clinic/Center in Alcoa, TN
• Providers in Alcoa, 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 Oct 16, 2017; 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.