NPIMap

Organization Active NPI

Knoxville Dental Group PC

  • Dentist
  • Knoxville, TN
National Provider Identifier
1306868260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
KNOXVILLE DENTAL GROUP PC
Practice address
10652 Deerbrook Dr
Knoxville, TN 37922-1941
Phone
(865) 671-0603
Fax
(865) 671-0604
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Cecil Pigford III, DDSNPI 1942223193
Title
President
Phone
(865) 671-0603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

10652 Deerbrook Dr
Knoxville, TN 37922-1941

Mailing address

10652 Deerbrook Dr
Knoxville, TN 37922-1941
Phone (865) 671-0603

National Provider Directory

National Provider Directory

Locations

10652 Deerbrook Dr
Knoxville, TN 37922
Phone (865) 671-0603

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306868260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10652 DEERBROOK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221941",
            "telephone_number": "865-671-0603",
            "fax_number": "865-671-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10652 DEERBROOK DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379221941",
            "telephone_number": "865-671-0603",
            "fax_number": "865-671-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIGFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CECIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-671-0603",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.