East Tennessee Family Dentistry, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

EAST TENNESSEE FAMILY DENTISTRY, LLC

Practice address

150 E Division Rd Ste 6
Oak Ridge, TN 37830-6908

Phone

(865) 482-1701

Fax

(865) 482-6176

NPI assigned

Jul 28, 2022

Organization subpart

No

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

Authorized official

Name

Amber Lawson

Title

Office Manager

Phone

(865) 584-8630

Specialties & licenses 1

Addresses

Other identifiers 2

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Atomic City Family Dentistry, LLC

  • General Practice Dentistry
  • Oak Ridge, TN
  • NPI 1134856651
  NPPES parent name
• Deane Hill Dentistry, LLC

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1881320190
  NPPES parent name

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1558097857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 8W",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194906",
            "telephone_number": "865-584-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E DIVISION RD STE 6",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306908",
            "telephone_number": "865-482-1701",
            "fax_number": "865-482-6176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6311 Kingston Pike Ste 8W",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194906",
            "country_code": "US",
            "telephone_number": "865-584-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST TENNESSEE FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-28",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-584-8630"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215017595",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1518585918",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles G Dye, MD
• Kimberly Ann Dymond, PAC
• Hailey Eason, LPC/MHSP
• East Tennessee Children'S Primary Care Center, Inc.
• East Tennessee Ear, Nose & Throat Specialists, PC
• East Tennessee Oral & Maxillofacial Surgery, PC
• East Tennessee Orthodontics
• East Tennessee Pediatric Dentistry at Oak Ridgepllc.
• East Tennessee Pulmonary Associates PC
• Joseph Bruce Eatherly, M.D.

• All providers in Oak Ridge, TN
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.