Mabry Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MABRY FAMILY DENTISTRY

Practice address

600 Town Creek Rd. East
Lenoir City, TN 37772

Phone

(865) 564-6001

Fax

(865) 564-6003

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Mary Lou Fox

Title

Manager

Phone

(865) 566-2158

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caleb Barker Mabry, DMD

  • Dentist
  • Lenoir City, TN
  • NPI 1437719440
  NPD
• Carl Don Mabry, DDS

  • General Practice Dentistry
  • Lenoir City, TN
  • NPI 1821104761
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1568170835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TOWN CREEK RD. EAST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37772",
            "telephone_number": "865-564-6001",
            "fax_number": "865-564-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TOWN CREEK RD. EAST",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "37772",
            "telephone_number": "865-564-6001",
            "fax_number": "865-564-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABRY FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "MARY LOU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "865-566-2158"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE NUMBER",
            "identifier": "4480",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST LICENSE NUMBER",
            "identifier": "11084",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@mabryfamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "600 Town Creek Rd. East",
            "city": "Lenoir City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Loudon County Pediatrics, PC
• Loudon Dermatology, P.C.
• Matthew David Lowrance, DO
• Mary Helen Lyle-Joiner, LPC-MHSP
• June Yvonne Lyons, DO
• Mabry, Akhrass & McCary, DDS, LLP
• Caleb Barker Mabry, DMD
• Carl Don Mabry, DDS
• Andrew James Maclellan, M.D.
• Cheyenne Jay Mahaffey

• General Practice Dentistry in Lenoir City, TN
• Providers in Lenoir City, 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 Nov 7, 2022; 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.