Organization Active NPI

Ewing Jackson Threet, II, DMD, MSD, PLLC

Doing business as E Jackson Threet, DMD, MSD ENDODONTIST

  • Endodontics
  • Seymour, TN
National Provider Identifier
1386564136
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
EWING JACKSON THREET, II, DMD, MSD, PLLC
Doing business as
E Jackson Threet, DMD, MSD ENDODONTIST
Ejt Endo
Practice address
319 Blue Peacock Way Ste 1
Seymour, TN 37865-3924
Phone
(865) 280-2526
NPI assigned
Jul 20, 2026
Last updated
Jul 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Ewing Jackson Threet II, DMD
Title
Owner / Endodontist
Phone
(704) 390-6628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

319 Blue Peacock Way Ste 1
Seymour, TN 37865-3924

Mailing address

1364 District LN Apt 459
Chattanooga, TN 37406-1946
Phone (704) 390-6628

Other names 2

  • E Jackson Threet, DMD, MSD ENDODONTIST Doing business as
  • EJT ENDO Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1386564136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 DISTRICT LN APT 459",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374061946",
            "telephone_number": "704-390-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 BLUE PEACOCK WAY STE 1",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378653924",
            "telephone_number": "865-280-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWING JACKSON THREET, II, DMD, MSD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-20",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "THREET",
        "authorized_official_first_name": "EWING",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER / ENDODONTIST",
        "authorized_official_telephone_number": "704-390-6628",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E Jackson Threet, DMD, MSD ENDODONTIST",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EJT ENDO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.