Active NPI
Scenic City Orthodontics of Dalton
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dalton, GA
National Provider Identifier
1932840048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- SCENIC CITY ORTHODONTICS OF DALTON
- Practice address
- 1202 Cleo Way Ste 2
Dalton, GA 30720-8428 - Phone
- (423) 855-4201
- Fax
- (423) 855-4203
- NPI assigned
- Apr 5, 2022
- 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
- Dr. Tyler E Prentice, DMD
- Title
- Owner
- Phone
- (423) 855-4201
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
1202 Cleo Way Ste 2
Dalton, GA 30720-8428
Mailing address
3326 Jenkins Rd Ste 101
Chattanooga, TN 37421-1598
Phone (423) 855-4201
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@sceniccityortho.com |
National Provider Directory
National Provider DirectoryLocations
1202 Cleo Way
Ste 2
Dalton, GA 30720
Phone (423) 855-4201
3326 Jenkins Rd
Ste 101
Chattanooga, TN 37421
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chattanooga, TN
- NPI 1164748893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649116800000",
"number": "1932840048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3326 JENKINS RD STE 101",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211598",
"telephone_number": "423-855-4201",
"fax_number": "423-855-4203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 CLEO WAY STE 2",
"city": "DALTON",
"state": "GA",
"postal_code": "307208428",
"telephone_number": "423-855-4201",
"fax_number": "423-855-4203"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCENIC CITY ORTHODONTICS OF DALTON",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-04",
"status": "A",
"authorized_official_last_name": "PRENTICE",
"authorized_official_first_name": "TYLER",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-855-4201",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@sceniccityortho.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "1202 Cleo Way Ste 2",
"city": "Dalton",
"state": "GA",
"country_code": "US",
"postal_code": "307208428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.