Division Dental P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8426 Issued in TN

Legal business name

DIVISION DENTAL P.C.

Practice address

138 E Division Rd
Oak Ridge, TN 37830-6906

Phone

(865) 272-3661

Fax

(865) 272-3663

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Kerri Nicole Everson, D.D.S.

Title

Dentist

Phone

(865) 789-4672

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1487941746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 E DIVISION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306906",
            "telephone_number": "865-272-3661",
            "fax_number": "865-272-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 E DIVISION RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306906",
            "telephone_number": "865-272-3661",
            "fax_number": "865-272-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVISION DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "EVERSON",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "865-789-4672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440305",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Tyler Dinsmore, DDS
• Virginia Dionne
• Discover Diagnostic Laboratory, LLC
• Andrea H Ditmore, SLP
• Diversicare Briarcliff, LLC
• Lilly DO
• Elizabeth Julissa Dockery, D.O.
• Nancy J. Doebler, RNC
• Jeanne A Dople, NP
• Michael L Douglas, D.O.

• General Practice Dentistry in Oak Ridge, TN
• Providers in Oak Ridge, 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 Jul 6, 2011; 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.