Elite Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS8571 Issued in TN

Legal business name

ELITE DENTAL PLLC

Practice address

334 Highway 92 South
Suite 1
Dandridge, TN 37725

Phone

(865) 397-5422

Fax

(865) 397-5432

NPI assigned

Feb 3, 2011

Last updated

Feb 3, 2011By 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

George Franklin Johnson III, DMD

Title

Dentist/President

Phone

(865) 397-5422

Specialties & licenses 2

Addresses

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.

• Paul Jason Chaney, D.M.D.

  • General Practice Dentistry
  • White Pine, TN
  • NPI 1700929486
  NPD (past)

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1649576935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 HIGHWAY 92 SOUTH",
            "address_2": "SUITE 1",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "37725",
            "telephone_number": "865-397-5422",
            "fax_number": "865-397-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 HIGHWAY 92 SOUTH",
            "address_2": "SUITE 1",
            "city": "DANDRIDGE",
            "state": "TN",
            "postal_code": "37725",
            "telephone_number": "865-397-5422",
            "fax_number": "865-397-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "865-397-5422",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS8571",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "BS8609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Hope Devotie, L.P.N.
• Brandy Jean Dickson, OTA
• Donna R Dillard, M.D.
• Drug Testing Solutions, Inc
• Jessica W Duncan, FNP
• Taylor Nicole England-Wells, OD
• Julie Ennis, OT
• Sheila L Evans, CPHT
• Regina Jellicorse Fields, MD
• Alison Ruth Fisher, MPHARM

• Dentist in Dandridge, TN
• Providers in Dandridge, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.