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MOUSE CREEK DENTAL CARE
NPI 1023572096
Dentist - General Practice in Cleveland, TN

Active since January 24, 2019
609 PAUL HUFF PKWY NW, CLEVELAND, TN 37312(423) 244-0783 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2019, Feb 6, 2019, Jan 24, 2019 (3 updates tracked since 2019).

About Mouse Creek Dental Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUSE CREEK DENTAL CARE (NPI 1023572096) is a healthcare organization registered as a general practice in Cleveland, Tennessee and active in the NPI registry since January 2019. The organization maintains a secondary practice location in Cleveland and lists Jessica Britt, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1023572096
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTENNESSEE DENTAL PROFESSIONALS, PC
Location Address609 PAUL HUFF PKWY NWCleveland, TN 37312-2970
Mailing Address609 Paul Huff Pkwy NwCleveland, TN 37312-2970 · (423) 244-0783
Phone(423) 244-0783
Organization SubpartYes
Authorized OfficialJessica BrittCredentialing Coordinator · (217) 540-5100
Enumeration DateJanuary 24, 2019
Last NPPES UpdateJuly 18, 20193 updates tracked since enumeration
✔ NPI 1023572096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
609 PAUL HUFF PKWY NW, Cleveland, TN 37312
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Other Names 1

Doing Business AsMouse Creek Dental Care

Secondary Practice Location 1

Location 1609 Paul Huff Pkwy NWCleveland, TN 37312-2970 · Phone (217) 540-5100

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE TROTT
Dentist
609 PAUL HUFF PKWY NW
CLEVELAND, TN 37312
Bradley County (423) 665-4100
LAUREN GABRIELLE ALFONSO SANTOS DDS
Dentist
609 PAUL HUFF PKWY NW
CLEVELAND, TN 37312
Bradley County (423) 244-0783
DR. JAEYOUN PARK DDS
Dentist (General Practice)
609 PAUL HUFF PKWY NW
CLEVELAND, TN 37312
Bradley County (318) 233-6077
JONATHAN SEARD
Dentist
609 PAUL HUFF PKWY NW
CLEVELAND, TN 37312
Bradley County (423) 665-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tennessee Dental Professionals, PC's NPI number?

The NPI number for Tennessee Dental Professionals, PC is 1023572096. It was assigned to this organization in the NPPES registry on January 24, 2019. The provider is doing business as Mouse Creek Dental Care.

Where is Tennessee Dental Professionals, PC located?

Tennessee Dental Professionals, PC is located at 609 Paul Huff Pkwy NW, Cleveland, TN 37312. The listed phone number is (423) 244-0783.

What is Tennessee Dental Professionals, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tennessee Dental Professionals, PC was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.