Organization Active NPI

Knoxville Dentistry PLLC

  • General Practice Dentistry
  • Crossville, TN
National Provider Identifier
1902349590
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KNOXVILLE DENTISTRY PLLC
Practice address
15 Parkside PL
Crossville, TN 38555-8865
Phone
(931) 456-2236
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Victor Hubbell Williams
Title
Owner
Phone
(865) 693-5030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

15 Parkside PL
Crossville, TN 38555-8865

Mailing address

10509 Hardin Valley Rd
Knoxville, TN 37932-1502
Phone (865) 693-5030

National Provider Directory

National Provider Directory

Locations

15 Parkside Pl
Crossville, TN 38555
Phone (931) 456-2236

10509 Hardin Valley Rd
Knoxville, TN 37932
Phone (865) 693-5030

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": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1902349590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10509 HARDIN VALLEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321502",
            "telephone_number": "865-693-5030",
            "fax_number": "865-693-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKSIDE PL",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385558865",
            "telephone_number": "931-456-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "HUBBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-693-5030",
        "authorized_official_name_prefix": "Dr."
    },
    "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 Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.