Professional Dental Systems, North

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000007053 Issued in TN

Legal business name

PROFESSIONAL DENTAL SYSTEMS, NORTH

Practice address

2609 Adair Dr
Knoxville, TN 37918-1897

Phone

(865) 688-1320

Fax

(865) 688-4719

NPI assigned

Nov 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Daniel Combs, DMD

Title

Owner

Phone

(865) 688-1320

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.

• Jason Alan Phillips, D.D.S.

  • Dentist
  • Knoxville, TN
  • NPI 1962659219
  NPD (past)

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952472086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 ADAIR DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181897",
            "telephone_number": "865-688-1320",
            "fax_number": "865-688-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 ADAIR DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181897",
            "telephone_number": "865-688-1320",
            "fax_number": "865-688-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL SYSTEMS, NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-688-1320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000007053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prodigal Primary Care
• Prodigal Primary Care PC
• Prodigal Primary Care PC
• Prodigal Primary Care PC
• Prodigy Mobile Lab & Nursing Concierge
• Professional Drivers Medical Depots
• Professional Imaging Services LLC
• Professional Integrated Healthcare (Pihc), PLLC
• Professional Medical Transport
• Professional Respiratory Services (Professional Respiratory and Medical)

• Dentist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.