Active NPI
Lincoln Memorial University
- General Practice Dentistry
- Knoxville, TN
National Provider Identifier
1548909294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LINCOLN MEMORIAL UNIVERSITY
- Practice address
- 1705 St. Mary Street
Knoxville, TN 37917 - Phone
- (865) 370-2128
- NPI assigned
- Jun 1, 2022
- Organization subpart
- Yes
- Parent organization
- LINCOLN MEMORIAL UNIVERSITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sabrina Layel
- Title
- Assistant Vice President Finance
- Phone
- (423) 869-6229
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | |||
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Periodontics | 1223P0300X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Oral and Maxillofacial Radiology Dentistry | 1223X0008X | |||
| Dental Hygienist | 124Q00000X | |||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
1705 St. Mary Street
Knoxville, TN 37917
Mailing address
6965 Cumberland Gap Parkway
Finance Office
Harrogate, TN 37752-8245
Phone (423) 869-6229
Other names 1
- LMU Dental Clinic
National Provider Directory
National Provider Directory- Part of
- Lincoln Memorial University
Locations
6965 Cumberland Gap Pkwy
Ofc
Harrogate, TN 37752
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dental Clinic/Center
- Knoxville, TN
- NPI 1992985865
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- New Tazewell, TN
- NPI 1992979454
-
- Obstetrics & Gynecology Physician
- Morristown, TN
- NPI 1518025816
-
- Dentist
- Knoxville, TN
- NPI 1891612537
-
- Military Health Care Provider
- Knoxville, TN
- NPI 1467395475
-
- Periodontics
- Knoxville, TN
- NPI 1316409717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683072000000",
"number": "1548909294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6965 CUMBERLAND GAP PARKWAY",
"address_2": "FINANCE OFFICE",
"city": "HARROGATE",
"state": "TN",
"postal_code": "377528245",
"telephone_number": "423-869-6229",
"fax_number": "423-869-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 ST. MARY STREET",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37917",
"telephone_number": "865-370-2128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINCOLN MEMORIAL UNIVERSITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LINCOLN MEMORIAL UNIVERSITY",
"enumeration_date": "2022-06-01",
"last_updated": "2023-05-03",
"certification_date": "2023-05-03",
"status": "A",
"authorized_official_last_name": "LAYEL",
"authorized_official_first_name": "SABRINA",
"authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT FINANCE",
"authorized_official_telephone_number": "423-869-6229"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0008X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LMU Dental Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LMU Dental Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.