Active NPI
Elite Smiles, PLLC
- General Practice Dentistry
- Knoxville, TN
National Provider Identifier
1881402105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ELITE SMILES, PLLC
- Practice address
- 303 S Concord St Ste 323
Knoxville, TN 37919-3304 - Phone
- (865) 364-1340
- NPI assigned
- Dec 19, 2024
- 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
- Angie Vance
- Title
- Insurance Coordinator
- Phone
- (423) 794-7962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
303 S Concord St Ste 323
Knoxville, TN 37919-3304
Mailing address
303 S Concord St Ste 323
Knoxville, TN 37919-3304
Phone (865) 364-1340
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734566400000",
"number": "1881402105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 S CONCORD ST STE 323",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379193304",
"telephone_number": "865-364-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 S CONCORD ST STE 323",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379193304",
"telephone_number": "865-364-1340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE SMILES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A",
"authorized_official_last_name": "VANCE",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "INSURANCE COORDINATOR",
"authorized_official_telephone_number": "423-794-7962"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.