Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

EWING JACKSON THREET, II, DMD, MSD, PLLC
NPI 1386564136
Dentist - Endodontics in Seymour, TN

Active since July 20, 2026
319 BLUE PEACOCK WAY STE 1, SEYMOUR, TN 37865(865) 280-2526 Get Directions Write a Review

NPPES record added: July 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ewing Jackson Threet, Ii, Dmd, Msd, Pllc NPPES

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

EWING JACKSON THREET, II, DMD, MSD, PLLC (NPI 1386564136), doing business as E Jackson Threet, Dmd, Msd Endodontist, is a healthcare organization registered as an endodontics in Seymour, Tennessee and active in the NPI registry since July 2026. The organization lists Ewing Jackson Threet, Owner / Endodontist, as its authorized official.

NPPES Registry Identity

NPI1386564136
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameEWING JACKSON THREET, II, DMD, MSD, PLLC
Location Address319 BLUE PEACOCK WAY STE 1Seymour, TN 37865-3924
Mailing Address1364 District Ln Apt 459Chattanooga, TN 37406-1946 · (704) 390-6628
Organization SubpartNo
Authorized OfficialEwing Jackson ThreetOwner / Endodontist · (704) 390-6628
Enumeration DateJuly 20, 2026
NPPES CertifiedJuly 20, 2026
NPI 1386564136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

319 BLUE PEACOCK WAY STE 1, Seymour, TN 37865

Other Names 2

Doing Business AsE Jackson Threet, Dmd, Msd Endodontist
Doing Business AsEjt Endo

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

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 Ewing Jackson Threet, II, Dmd, Msd, PLLC's NPI number?

The NPI number for Ewing Jackson Threet, II, Dmd, Msd, PLLC is 1386564136. It was assigned to this organization in the NPPES registry on July 20, 2026. The provider is doing business as E Jackson Threet, DMD, MSD ENDODONTIST and Ejt Endo.

Where is Ewing Jackson Threet, II, Dmd, Msd, PLLC located?

Ewing Jackson Threet, II, Dmd, Msd, PLLC is located at 319 Blue Peacock Way Ste 1, Seymour, TN 37865. The listed phone number is (865) 280-2526.

What is Ewing Jackson Threet, II, Dmd, Msd, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Ewing Jackson Threet, II, Dmd, Msd, PLLC was last updated on July 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.