Active NPI
Covenant Dental, PLLC
- General Practice Dentistry
- Morristown, TN
National Provider Identifier
1508657974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- COVENANT DENTAL, PLLC
- Practice address
- 468 Crockett Trace Dr
Morristown, TN 37813-2162 - Phone
- (423) 581-2888
- NPI assigned
- May 15, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Barber
- Title
- Enrollment Manager
- Phone
- (315) 454-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
468 Crockett Trace Dr
Morristown, TN 37813-2162
Mailing address
PO Box 70887
Cleveland, OH 44190-0887
Phone (315) 454-6000
National Provider Directory
National Provider DirectoryLocations
468 Crockett Trace Dr
Morristown, TN 37813
Phone (423) 581-2888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747267200000",
"number": "1508657974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70887",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441900887",
"telephone_number": "315-454-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 CROCKETT TRACE DR",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378132162",
"telephone_number": "423-581-2888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENANT DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A",
"authorized_official_last_name": "BARBER",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "ENROLLMENT MANAGER",
"authorized_official_telephone_number": "315-454-6000"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.