University General Dentists, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4790 Issued in TN

Legal business name

UNIVERSITY GENERAL DENTISTS, PC

Practice address

1930 Alcoa Hwy., Med. BLDG. a
Suite 340
Knoxville, TN 37920-1500

Phone

(865) 544-9440

Fax

(865) 544-9442

NPI assigned

Jul 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Timothy Williams, DDSNPI 1629185632

Title

Vice President, Ugd

Phone

(865) 544-9440

Specialties & licenses 1

Addresses

Locations

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.

• William Timothy Williams, DDS

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1629185632
  NPD (past) Authorized official
• Olcie Lee Wilson III, D.M.D.

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1952318172
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639184476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY., MED. BLDG. A",
            "address_2": "SUITE 340",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-544-9440",
            "fax_number": "865-544-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 ALCOA HWY., MED. BLDG. A",
            "address_2": "SUITE 340",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201500",
            "telephone_number": "865-544-9440",
            "fax_number": "865-544-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY GENERAL DENTISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "VICE PRESIDENT, UGD",
        "authorized_official_telephone_number": "865-544-9440",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, 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 Aug 22, 2020; 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.