Infirm Care Dental Services, Inc.

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

1007 Issued in TN

Legal business name

INFIRM CARE DENTAL SERVICES, INC.

Practice address

460 Industrial LN
Oneida, TN 37841-6294

Phone

(865) 206-6198

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Pat N Gengozian, RDH

Title

Marketing Director

Phone

(865) 206-6198

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1467950790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 OAK RIDGE TPKE STE 107A",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306422",
            "telephone_number": "865-206-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 INDUSTRIAL LN",
            "city": "ONEIDA",
            "state": "TN",
            "postal_code": "378416294",
            "telephone_number": "865-206-6198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Canterfield Assisted Living",
            "address_2": "220 Bus Terminal Rd",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "37830",
            "country_code": "US",
            "telephone_number": "865-206-6198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFIRM CARE DENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "GENGOZIAN",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MARKETING DIRECTOR",
        "authorized_official_telephone_number": "865-206-6198",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "125K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": "TN",
            "license": "1007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Oneida, TN
• Advanced Practice Dental Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.