Southeast Mobile Smiles

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DS9854 Issued in TN

Legal business name

SOUTHEAST MOBILE SMILES

Practice address

842 Brookshire Blvd
Maryville, TN 37803-6475

Phone

(865) 441-2527

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

Mrs. Callie Michele Fishel, RDH

Title

Dental Hygienist

Phone

(865) 441-2527

Specialties & licenses 1

Addresses

Practitioners 1

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

• Karen Beth Brinkmann, RDH

  • Dental Hygienist
  • Maryville, TN
  • NPI 1437591021
  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": "1427569664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "842 BROOKSHIRE BLVD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036475",
            "telephone_number": "865-441-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 BROOKSHIRE BLVD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036475",
            "telephone_number": "865-441-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST MOBILE SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "FISHEL",
        "authorized_official_first_name": "CALLIE",
        "authorized_official_middle_name": "MICHELE",
        "authorized_official_title_or_position": "DENTAL HYGIENIST",
        "authorized_official_telephone_number": "865-441-2527",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "TN",
            "license": "DS9854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marva Solt, CD(DONA)
• Lewis C Sommerville, MD
• Christy Sorrell, PH.D.
• Michael Sousa-Johnson, MS, LAT, ATC
• Terry L South, NP-C
• Southeast Oral Surgery PC
• Susan Souther, M.D.
• Southern Orthocare Inc
• Southland Health Services, LLC
• Kimberly Sparkman

• Public Health Dentistry in Maryville, TN
• Providers in Maryville, TN by specialty
• Public Health Dentistry 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.