Jon E. Shell D.D.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS002876 Issued in TN

Legal business name

JON E. SHELL D.D.S.

Practice address

1106 Glennhill LN
Sevierville, TN 37862-6915

Phone

(865) 429-4333

Fax

(865) 429-2969

NPI assigned

Jul 5, 2011

Organization subpart

No

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

Authorized official

Name

Cindy Watson

Title

Administrative Assistant

Phone

(865) 429-4333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309824000000",
    "number": "1760779268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 GLENNHILL LN",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626915",
            "telephone_number": "865-429-4333",
            "fax_number": "865-429-2969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 GLENNHILL LN",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626915",
            "telephone_number": "865-429-4333",
            "fax_number": "865-429-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON E. SHELL D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "865-429-4333"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "DS002876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell R. Johnson, MD
• Jeremy Andrew Johnson
• Keonna Johnson, MSW
• Kimberly Johnson, OT
• Steven Wayne Johnson, DO
• Eric Scott Jones
• Jonathan Tyler Jones, PHARMD
• Laura Jones
• Leigh Ann Jones, FNP
• Mackenzie Shae Liedel Jones

• Dental Clinic/Center in Sevierville, TN
• Providers in Sevierville, 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 Jul 5, 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.