Organization Active NPI

Lincoln Memorial University

Doing business as LMU Dental Clinic

  • Dental Clinic/Center
  • Knoxville, TN
National Provider Identifier
1992985865
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LINCOLN MEMORIAL UNIVERSITY
Doing business as
LMU Dental Clinic
Practice address
1705 St. Mary Street
Knoxville, TN 37917
Phone
(865) 338-5755
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Authorized official

Name
Sabrina Layel
Title
Assistant Vice President, Finance
Phone
(423) 869-6229

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X
Oral and Maxillofacial Radiology DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0008X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1705 St. Mary Street
Knoxville, TN 37917

Mailing address

6965 Cumberland Gap Pkwy
Harrogate, TN 37752-8231
Phone (423) 869-6229

Other practice location 1

6965 Cumberland Gap Pkwy
Harrogate, TN 37752-8245
Phone (423) 869-6229

Other identifiers 1

IdentifierTypeStateIssuer
4166520OtherTNBLUE CROSS BLUE SHIELD OF TENNESSEE

Other names 1

  • LMU Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

7156 Cumberland Gap Pkwy
Harrogate, TN 37752
Phone (423) 869-7193

6965 Cumberland Gap Pkwy
Ste 203
Harrogate, TN 37752
Phone (423) 869-7193

165 Westmoreland St
Harrogate, TN 37752
Phone (423) 441-8011

6965 Cumberland Gap Pkwy
Harrogate, TN 37752
Phone (423) 869-3611

840 England Industrial Rd
New Tazewell, TN 37825
Phone (423) 869-7193

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1992985865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 CUMBERLAND GAP PKWY",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528231",
            "telephone_number": "423-869-6229",
            "fax_number": "423-869-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 ST. MARY STREET",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-338-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6965 Cumberland Gap Pkwy",
            "address_purpose": "LOCATION",
            "city": "Harrogate",
            "state": "TN",
            "postal_code": "377528245",
            "country_code": "US",
            "telephone_number": "423-869-6229",
            "fax_number": "423-869-6229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LINCOLN MEMORIAL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "LAYEL",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "423-869-6229"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TENNESSEE",
            "identifier": "4166520",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMU Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LMU Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.