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PROHEALTH SENIOR SERVICES OF VIRGINIA
NPI 1104314624
Dentist - General Practice in Maryville, TN

Active since April 30, 2018
811 HIGH ST, MARYVILLE, TN 37804(844) 700-0088 Get Directions Write a Review

NPPES record last updated: April 30, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prohealth Senior Services Of Virginia NPPES

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

PROHEALTH SENIOR SERVICES OF VIRGINIA (NPI 1104314624) is a healthcare organization registered as a general practice in Maryville, Tennessee and active in the NPI registry since April 2018. The organization lists William F Proffitt, Owner, as its authorized official.

NPPES Registry Identity

NPI1104314624
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePROHEALTH SENIOR SERVICES OF VIRGINIA
Location Address811 HIGH STMaryville, TN 37804-5030
Mailing Address8028 Hampton Lake DrTampa, FL 33647-3558
Phone(844) 700-0088
Organization SubpartNo
Authorized OfficialWilliam F ProffittOwner · (844) 700-0088
Enumeration DateApril 30, 2018
✔ NPI 1104314624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401413088
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.
811 HIGH ST, Maryville, TN 37804
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Other Identifiers 1

Other1649296906Npi

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 2

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

SUSAN LEAH MELTON RDH
Dental Hygienist
811 HIGH ST
MARYVILLE, TN 37804
Blount County (865) 982-2421
WILLIAM F PROFFITT JR. D.D.S.
Dentist (General Practice)
811 HIGH ST, HIGH STREET STATION
MARYVILLE, TN 37804
Blount County (865) 982-2421

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 Prohealth Senior Services Of Virginia's NPI number?

The NPI number for Prohealth Senior Services Of Virginia is 1104314624. It was assigned to this organization in the NPPES registry on April 30, 2018.

Where is Prohealth Senior Services Of Virginia located?

Prohealth Senior Services Of Virginia is located at 811 High St, Maryville, TN 37804. The listed phone number is (844) 700-0088.

What is Prohealth Senior Services Of Virginia'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 Prohealth Senior Services Of Virginia was last updated on April 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.