Estill Springs Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ESTILL SPRINGS FAMILY DENTISTRY, PLLC

Practice address

802 N Main St
Estill Springs, TN 37330-3212

Phone

(931) 649-3238

Fax

(931) 649-3240

NPI assigned

Oct 21, 2010

Last updated

Aug 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Hendry

Title

Office Manager

Phone

(931) 649-3238

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry L Etter, D.D.S.

  • General Practice Dentistry
  • Estill Springs, TN
  • NPI 1154324119
  NPD (past)

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1912217142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 515",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373300515",
            "telephone_number": "931-649-3238",
            "fax_number": "931-649-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N MAIN ST",
            "city": "ESTILL SPRINGS",
            "state": "TN",
            "postal_code": "373303212",
            "telephone_number": "931-649-3238",
            "fax_number": "931-649-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTILL SPRINGS FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "HENDRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "931-649-3238"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Burris
• William Alan Cleek, MA,ED.S.
• Harold Randall Davis
• Lorraine Kathleen Dwyer, CMSW
• Vicki Lee Elliott
• Terry L Etter, D.D.S.
• Family Physicians of Estill Springs, P.C.
• Teri Gallagher, PHARMD.
• Deborah Lynn Gibbs, N.P.-C
• Nola Hall

• General Practice Dentistry in Estill Springs, TN
• Providers in Estill Springs, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.