Dental Associates of East Tennessee PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL ASSOCIATES OF EAST TENNESSEE PLLC

Practice address

1401 Volunteer Pkwy Ste 3
Bristol, TN 37620-6051

Phone

(423) 217-6300

NPI assigned

Jan 3, 2018

Last updated

Jun 13, 2023By 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

John Notarianni

Title

Owner

Phone

(423) 217-6300

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, and the practitioner matching its NPPES authorized official.

• Ragaa Abdulmoniem, DDS

  • General Practice Dentistry
  • Bristol, TN
  • NPI 1114758331
  NPD (past)
• Matthew Eric Knudsen, DDS

  • Dentist
  • Escanaba, MI
  • NPI 1669228169
  NPD (past)
• Esther Lee

  • Dentist
  • Hoffman Estates, IL
  • NPI 1891356135

  General Practice

  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1346757143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441907088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 VOLUNTEER PKWY STE 3",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376206051",
            "telephone_number": "423-217-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF EAST TENNESSEE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "NOTARIANNI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-217-6300"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belena Davis, FNP
• Bradley Michael Deal, DOCTOR OF PHARMACY
• Kimberly Annette Dean
• Katherine Ellen Debusk, MA
• Shali Nicole Denison, OTR/L
• Merrill Farr Dickson, DDS
• Chad Diminick, DDS
• James M Dixon, PHARM D
• Jonathan Dixon, D.O.
• Renee D Dixon, CRNA

• General Practice Dentistry in Bristol, TN
• Providers in Bristol, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.