Creekside Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CREEKSIDE DENTAL P.C.

Practice address

2606 Greenway Dr
Suite 201
Knoxville, TN 37918-1904

Phone

(865) 688-7699

Fax

(865) 688-7695

NPI assigned

Apr 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kent T Melbourne, DDS, MBANPI 1982689519

Title

Ceo

Phone

(865) 688-7695

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kent Melbourne, D.D.S

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1982689519
  NPD (past) Authorized official

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1457618670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 GREENWAY DR",
            "address_2": "SUITE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181904",
            "telephone_number": "865-688-7699",
            "fax_number": "865-688-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 GREENWAY DR",
            "address_2": "SUITE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181904",
            "telephone_number": "865-688-7699",
            "fax_number": "865-688-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "MELBOURNE",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "865-688-7695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MBA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooklyn Creech, NP
• Kristin Fields Creech, MS
• Jodi Faye Creekmore
• Creekside Counseling
• Creekside Counseling & Wellness
• Lauren Crehan, M.S., CF-SLP
• Aubrey Cremeans, NP
• Angela Cremins
• Brent Allen Crenshaw, MA
• Gwendolyn Emma Duso Crenshaw, APN, FNP

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, 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 Apr 12, 2012; 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.