Center for Oral Reconstruction

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CENTER FOR ORAL RECONSTRUCTION

Practice address

2835 Northpoint Blvd Ste 105
Hixson, TN 37343-4862

Phone

(423) 223-5666

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Marcus Kenneth Randall, DMDNPI 1952667230

Title

Owner

Phone

(423) 223-5666

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.

• Marcus Kenneth Randall, D.M.D.

  • General Practice Dentistry
  • Hixson, TN
  • NPI 1952667230
  NPD Authorized official

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1467345439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1373 BRIDGEVIEW DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374151468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 NORTHPOINT BLVD STE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434862",
            "telephone_number": "423-223-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORAL RECONSTRUCTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-223-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Michelle Carroll, DNP RN
• Mauriska Felicia Cash Munroe
• Kaitlyn Cavins, OTD
• Daniel Cawley, D.C.
• Cenova Pharmaceutical Care
• Center for Plastic and Reconstructive Surgery
• Kurt Miller Chambless, M.D.
• Semary Chan
• Chattanooga Cardiac Care LLC
• Chattanooga Center for Pain Medicine PC

• Dental Clinic/Center in Hixson, TN
• Providers in Hixson, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.