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CDA - FORT SANDERS WEST
NPI 1104690924
Dentist - General Practice in Knoxville, TN

Active since November 13, 2023
280 FORT SANDERS WEST BLVD STE 117, KNOXVILLE, TN 37922(865) 539-6030(865) 539-6768 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cda - Fort Sanders West NPPES

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

CDA - FORT SANDERS WEST (NPI 1104690924) is a healthcare organization registered as a general practice in Knoxville, Tennessee and active in the NPI registry since November 2023. The organization lists Gary Michael Prince, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1104690924
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCDA - FORT SANDERS WEST
Location Address280 FORT SANDERS WEST BLVD STE 117Knoxville, TN 37922-3352
Mailing Address280 Fort Sanders West Blvd Ste 117Knoxville, TN 37922-3352 · (865) 539-6030 · Fax (865) 539-6768
Phone(865) 539-6030
Fax(865) 539-6768
Organization SubpartNo
Authorized OfficialGary Michael PrinceInsurance Coordinator · (865) 539-6030
Enumeration DateNovember 13, 2023
NPPES CertifiedNovember 13, 2023
✔ NPI 1104690924 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.

280 FORT SANDERS WEST BLVD STE 117, Knoxville, TN 37922
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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.

JOSEPH COBLE WHITAKER II
Dentist
280 FORT SANDERS WEST BLVD STE 117
KNOXVILLE, TN 37922
Knox County (865) 539-6030
LIVING LIFE DENTISTRY, PLLC
Dentist (General Practice)
280 FORT SANDERS WEST BLVD STE 117
KNOXVILLE, TN 37922
Knox County (865) 539-6030

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 Cda - Fort Sanders West's NPI number?

The NPI number for Cda - Fort Sanders West is 1104690924. It was assigned to this organization in the NPPES registry on November 13, 2023.

Where is Cda - Fort Sanders West located?

Cda - Fort Sanders West is located at 280 Fort Sanders West Blvd Ste 117, Knoxville, TN 37922. The listed phone number is (865) 539-6030.

What is Cda - Fort Sanders West'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 Cda - Fort Sanders West was last updated on November 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.