Active NPI
McMinn Dental Center PLLC
- General Practice Dentistry
- Athens, TN
National Provider Identifier
1750233490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MCMINN DENTAL CENTER PLLC
- Practice address
- 800 W Madison Ave
Athens, TN 37303-3430 - Phone
- (423) 745-5212
- NPI assigned
- Feb 13, 2026
- Last updated
- Feb 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Connor Wasylucha, DDS
- Title
- Owner
- Phone
- (509) 520-0618
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
800 W Madison Ave
Athens, TN 37303-3430
Mailing address
800 W Madison Ave
Athens, TN 37303-3430
Phone (423) 745-5212
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Dentist
- Athens, TN
- NPI 1831827914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770940800000",
"number": "1750233490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W MADISON AVE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033430",
"telephone_number": "423-745-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W MADISON AVE",
"city": "ATHENS",
"state": "TN",
"postal_code": "373033430",
"telephone_number": "423-745-5212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCMINN DENTAL CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A",
"authorized_official_last_name": "WASYLUCHA",
"authorized_official_first_name": "CONNOR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-520-0618",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.