Adult & Family Dentistry, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ADULT & FAMILY DENTISTRY, INC.

Practice address

1740 Big Springs Rd
Maryville, TN 37801

Phone

(865) 681-7645

Fax

(865) 681-3488

NPI assigned

Nov 21, 2006

Last updated

Oct 10, 2012By 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

Dr. Randall Ford, DDSNPI 1427224963

Title

Owner

Phone

(865) 681-7645

Specialties & licenses 1

Addresses

Tax ID family

Adult Adn Family Dentistry of Fountain City2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Adult and Family Dentistry

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1376976449
  NPD tax ID

Locations

Practitioners 1

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.

• Randall L Ford, DDS

  • Dentist
  • Maryville, TN
  • NPI 1427224963
  NPD Authorized official

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1649345406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 BIG SPRINGS RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37801",
            "telephone_number": "865-681-7645",
            "fax_number": "865-681-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 BIG SPRINGS RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "37801",
            "telephone_number": "865-681-7645",
            "fax_number": "865-681-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT & FAMILY DENTISTRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-681-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Maryville, TN
• Providers in Maryville, 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 Oct 10, 2012; 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.