DR. MIKE DOUGLAS MYSINGER D.D.S.
NPI 1366430597
Dentist - Pediatric Dentistry in Knoxville, TN

Active since October 12, 2005
120 CAPITAL DR, SUITE 101, KNOXVILLE, TN 37922(865) 693-7070(865) 693-7317 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Mike Douglas Mysinger D.d.s. NPPES

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

DR. MIKE DOUGLAS MYSINGER D.D.S. (NPI 1366430597) is an individual pediatric dentistry provider in Knoxville, Tennessee, licensed in Tennessee (6841) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1366430597
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MIKE DOUGLAS MYSINGERCredential: D.D.S.
Location Address120 CAPITAL DR, SUITE 101Knoxville, TN 37922-3478
Mailing Address120 Capital Dr, Suite 101Knoxville, TN 37922-3478 · (865) 693-7070 · Fax (865) 693-7317
Fax(865) 693-7317
Sole ProprietorYes
Enumeration DateOctober 12, 2005
Last NPPES UpdateMarch 23, 2017
NPI 1366430597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in TN · 6841
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

120 CAPITAL DR, Knoxville, TN 37922

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366430597, enumerated as an "individual" on October 12, 2005.

The provider is located at 120 CAPITAL DR SUITE 101 KNOXVILLE, TN 37922 and the phone number is (865) 693-7070.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.