Organization Active NPI

Premier Dental Group, PLLC of Knoxville

  • Clinic/Center
  • Knoxville, TN
National Provider Identifier
1821269507
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
8480 Issued in TN
Legal business name
PREMIER DENTAL GROUP, PLLC OF KNOXVILLE
Practice address
Premier Dental Group, PLLC of Knoxville
303 S Concord St Ste. 323 Ste
Knoxville, TN 37919
Phone
(865) 637-5708
Fax
(865) 637-5712
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Dr. Michael Sawaf, DMDNPI 1083796841
Title
Orthodontist
Phone
(865) 637-5708

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 8480 TN Primary

Addresses

Primary practice location

Premier Dental Group, PLLC of Knoxville
303 S Concord St Ste. 323 Ste
Knoxville, TN 37919

Mailing address

Premier Dental Group, PLLC of Knoxville
303 S Concord St Ste. 323 Ste
Knoxville, TN 37919
Phone (865) 637-5708

Other names 1

  • Orthodontic Designs by Michael Sawaf DMD, PLLC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cool Water Orthodontics2 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.

Locations

303 S Concord St
Ste 323
Knoxville, TN 37919
Phone (865) 364-1340

323 S Concord St
Knoxville, TN 37919
Phone (865) 637-5708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1821269507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PREMIER DENTAL GROUP, PLLC OF KNOXVILLE",
            "address_2": "303 S CONCORD ST STE. 323 STE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-637-5708",
            "fax_number": "865-637-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PREMIER DENTAL GROUP, PLLC OF KNOXVILLE",
            "address_2": "303 S CONCORD ST STE. 323 STE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37919",
            "telephone_number": "865-637-5708",
            "fax_number": "865-637-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DENTAL GROUP, PLLC OF KNOXVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2021-07-14",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "SAWAF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "865-637-5708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "8480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic Designs by Michael Sawaf DMD, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.