Caleb Barker Mabry, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11084 Issued in TN

Practice address

600 Town Creek Rd East
Lenoir City, TN 37772

Phone

(865) 564-6001

NPI assigned

Jun 20, 2019

Last updated

Nov 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mabry Family Dentistry

  • General Practice Dentistry
  • Lenoir City, TN
  • NPI 1568170835
  NPD

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1437719440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TOWN CREEK RD EAST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37772",
            "telephone_number": "865-564-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TOWN CREEK RD EAST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37772",
            "telephone_number": "865-564-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1197 DeWitt Dr",
            "address_purpose": "LOCATION",
            "city": "Lenoir City",
            "state": "TN",
            "postal_code": "377725517",
            "country_code": "US",
            "telephone_number": "865-809-4388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MABRY",
        "first_name": "CALEB",
        "middle_name": "BARKER",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-20",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Lowrance, DO
• Mary Helen Lyle-Joiner, LPC-MHSP
• June Yvonne Lyons, DO
• Mabry Family Dentistry
• Mabry, Akhrass & McCary, DDS, LLP
• Carl Don Mabry, DDS
• Andrew James Maclellan, M.D.
• Cheyenne Jay Mahaffey
• Seema Maheshwari-Sharma, MD
• Amy Hudson Malcolm

• Dentist in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.