Organization Active NPI

Anderson County Dental Clinic

  • Dental Clinic/Center
  • Clinton, TN
National Provider Identifier
1851767727
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ANDERSON COUNTY DENTAL CLINIC
Practice address
710 N Main St
Suite C
Clinton, TN 37716-3143
Phone
(865) 425-8803
NPI assigned
Aug 14, 2015
Last updated
Aug 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Mr. Arthur Langley Miller
Title
County Director
Phone
(865) 425-8820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

710 N Main St
Suite C
Clinton, TN 37716-3143

Mailing address

710 N Main St
Suite C
Clinton, TN 37716-3143
Phone (865) 425-8803

Other names 1

  • Anderson County Government Other name

National Provider Directory

National Provider Directory
Tax ID family
County of Anderson2 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

710 N Main St
Ste C
Clinton, TN 37716
Phone (865) 425-8803

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1851767727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N MAIN ST",
            "address_2": "SUITE C",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163143",
            "telephone_number": "865-425-8803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N MAIN ST",
            "address_2": "SUITE C",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163143",
            "telephone_number": "865-425-8803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON COUNTY DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "LANGLEY",
        "authorized_official_title_or_position": "COUNTY DIRECTOR",
        "authorized_official_telephone_number": "865-425-8820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson County Government",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.