Organization Active NPI

Crossville Dentistry PLLC

Doing business as Crossville Dentistry

  • General Practice Dentistry
  • Crossville, TN
National Provider Identifier
1619338886
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CROSSVILLE DENTISTRY PLLC
Doing business as
Crossville Dentistry
Practice address
15 Parkside Place
Crossville, TN 38555
Phone
(931) 456-2236
Fax
(865) 947-7906
NPI assigned
Mar 15, 2016
Last updated
May 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Authorized official

Name
Victor Hubbell Williams, DMD
Title
Owner
Phone
(606) 231-2430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X TN
General Practice Dentistry 1223G0001X TN Primary

Addresses

Primary practice location

15 Parkside Place
Crossville, TN 38555

Mailing address

15 Parkside Place
Crossville, TN 38555
Phone (931) 456-2236

Other names 1

  • Crossville Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

15 Parkside Pl
Crossville, TN 38555
Phone (931) 456-2236

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559174400000",
    "number": "1619338886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARKSIDE PLACE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-456-2236",
            "fax_number": "865-947-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKSIDE PLACE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "38555",
            "telephone_number": "931-456-2236",
            "fax_number": "865-947-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVILLE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2019-05-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HUBBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-231-2430",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossville Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossville Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2019; 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.