Adam Priestwood

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10444 Issued in TN

Practice address

550 Town Creek Rd E Ste 101
Lenoir City, TN 37772-2600

Phone

(865) 766-4884

Fax

(865) 381-1324

NPI assigned

Jun 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adam Priestwood DMD PLLC

  • Dental Clinic/Center
  • Athens, TN
  • NPI 1164175006
  NPD Authorized official
• Smoky Mountain Pediatric Dentistry, PLLC

  • Dental Clinic/Center
  • Lenoir City, TN
  • NPI 1871916668
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1922488832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 TOWN CREEK RD E STE 101",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377722600",
            "telephone_number": "865-766-4884",
            "fax_number": "865-381-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 TOWN CREEK RD E STE 101",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377722600",
            "telephone_number": "865-766-4884",
            "fax_number": "865-381-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESTWOOD",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "10444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Health, LLC
• Moez R Premji, M.D.
• Prescription Specialties LLC.
• Megan Chantell Price, CCMA, CPT
• Brandi Sunshine Pride
• Prodigal Primary Care PC
• Hillary Anne Quilliams, FNP
• Eve Lorraine Rackley, PT
• Hannah Elizabeth Raines, DNP
• Rapha Counseling Services LLC

• Pediatric Dentistry in Lenoir City, TN
• Providers in Lenoir City, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.