EAST TENNESSEE PERIODONTICS, LLC
NPI 1215426853
Dentist - Periodontics in Knoxville, TN

Active since May 09, 2018
2040 CASTAIC LN, KNOXVILLE, TN 37932(865) 246-0460(865) 482-0592 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Tennessee Periodontics, Llc NPPES

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

EAST TENNESSEE PERIODONTICS, LLC (NPI 1215426853) is a healthcare organization registered as a periodontics in Knoxville, Tennessee and active in the NPI registry since May 2018. The organization lists Robert Craig Cain, Owner, as its authorized official.

NPPES Registry Identity

NPI1215426853
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameEAST TENNESSEE PERIODONTICS, LLC
Location Address2040 CASTAIC LNKnoxville, TN 37932-1557
Mailing Address2040 Castaic LnKnoxville, TN 37932-1557 · (865) 246-0460 · Fax (865) 482-0592
Fax(865) 482-0592
Organization SubpartNo
Authorized OfficialRobert Craig CainOwner · (865) 246-0460
Enumeration DateMay 9, 2018
NPI 1215426853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2040 CASTAIC LN, Knoxville, TN 37932

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 3

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

Dental Hygienist
2040 CASTAIC LN
KNOXVILLE, TN 37932
Dentist (Periodontics)
2040 CASTAIC LN
KNOXVILLE, TN 37932
Dentist (Periodontics)
2040 CASTAIC LN
KNOXVILLE, TN 37932

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 East Tennessee Periodontics, LLC's NPI number?

The NPI number for East Tennessee Periodontics, LLC is 1215426853. It was assigned to this organization in the NPPES registry on May 9, 2018.

Where is East Tennessee Periodontics, LLC located?

East Tennessee Periodontics, LLC is located at 2040 Castaic Ln, Knoxville, TN 37932. The listed phone number is (865) 246-0460.

What is East Tennessee Periodontics, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for East Tennessee Periodontics, LLC was last updated on May 9, 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.