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TENNESSEE RIVER DENTAL, PLLC
NPI 1568854875
Clinic/Center - Dental in Hixson, TN

Active since February 23, 2015
4845 HIXSON PIKE STE C, HIXSON, TN 37343(423) 877-3848(423) 877-3726 Get Directions Write a Review

NPPES record last updated: February 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tennessee River Dental, Pllc NPPES

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

TENNESSEE RIVER DENTAL, PLLC (NPI 1568854875) is a healthcare organization registered as a dental in Hixson, Tennessee and active in the NPI registry since February 2015. The organization lists Marcus Kenneth Randall, Owner, as its authorized official.

NPPES Registry Identity

NPI1568854875
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTENNESSEE RIVER DENTAL, PLLC
Location Address4845 HIXSON PIKE STE CHixson, TN 37343-4466
Mailing Address4845 Hixson Pike Ste CHixson, TN 37343-4466 · (423) 877-3848 · Fax (423) 877-3726
Phone(423) 877-3848
Fax(423) 877-3726
Organization SubpartNo
Authorized OfficialMarcus Kenneth RandallOwner · (423) 877-3848
Enumeration DateFebruary 23, 2015
✔ NPI 1568854875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in TN · 9947✔ Licensed in TN · 3483
4845 HIXSON PIKE STE C, Hixson, TN 37343
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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.

JERRIE J RAINES DDS
Dentist
4845 HIXSON PIKE STE C
HIXSON, TN 37343
Hamilton County (423) 877-3848
JERRIE JONAKIN RAINES, D.D,S.,PLLC
Dentist (General Practice)
4845 HIXSON PIKE STE C
HIXSON, TN 37343
Hamilton County (423) 877-3848

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 Tennessee River Dental, PLLC's NPI number?

The NPI number for Tennessee River Dental, PLLC is 1568854875. It was assigned to this organization in the NPPES registry on February 23, 2015.

Where is Tennessee River Dental, PLLC located?

Tennessee River Dental, PLLC is located at 4845 Hixson Pike Ste C, Hixson, TN 37343. The listed phone number is (423) 877-3848.

What is Tennessee River Dental, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Tennessee River Dental, PLLC was last updated on February 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.