South Knox Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTH KNOX DENTAL

Practice address

6555 Chapman Hwy
Knoxville, TN 37920-6579

Phone

(865) 577-7535

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 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

Yvonne Macias, RDH

Title

Business/Operations MGR.

Phone

(865) 524-1265

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.

• Pablo Foncea, D.M.D.

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1891708863
  NPD
• Robert Carl Freeman, D.D.S.

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1770660367
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1689206179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206579",
            "telephone_number": "865-577-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 CHAPMAN HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206579",
            "telephone_number": "865-577-7535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH KNOX DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "BUSINESS/OPERATIONS MGR.",
        "authorized_official_telephone_number": "865-524-1265",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francisco J Soto, MD
• Hanna Souhrada
• Soul Hospital With Dr. Char
• Soul of Serenity Center
• Sound Image Inc
• Southeast Behavioral Services
• Southeast Eye Surgery Center, LLC
• Southeast Oral Surgery PC
• Southeast Oral Surgery PC
• Southeast Precision Clinic of Chiropractic, PLLC

• Dental Clinic/Center in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.