NPIMap

Organization Active NPI

House Mountain Dentistry

  • Dentist
  • Blaine, TN
National Provider Identifier
1962343269
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HOUSE MOUNTAIN DENTISTRY
Practice address
1070 Rutledge Pike
Blaine, TN 37709-3027
Phone
(865) 401-2796
Fax
(865) 992-3042
NPI assigned
Apr 2, 2026
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
HOUSE MOUNTAIN DENTISTRYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Debbie M Long
Title
RDH
Phone
(865) 992-5821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

1070 Rutledge Pike
Blaine, TN 37709-3027

Mailing address

3802 Maynardville Hwy
Maynardville, TN 37807-3413
Phone (865) 992-5821

National Provider Directory

National Provider Directory
Tax ID family
House Mountain Dentistry2 organizations share this tax ID, including this one
Part of
House Mountain Dentistry

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1070 Rutledge Pike
Blaine, TN 37709
Phone (865) 401-2796

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1962343269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 MAYNARDVILLE HWY",
            "city": "MAYNARDVILLE",
            "state": "TN",
            "postal_code": "378073413",
            "telephone_number": "865-992-5821",
            "fax_number": "865-992-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 RUTLEDGE PIKE",
            "city": "BLAINE",
            "state": "TN",
            "postal_code": "377093027",
            "telephone_number": "865-401-2796",
            "fax_number": "865-992-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE MOUNTAIN DENTISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE MOUNTAIN DENTISTRY",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "RDH",
        "authorized_official_telephone_number": "865-992-5821"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.