EAST TENNESSEE PEDIATRIC DENTISTRY PLLC
NPI 1609211267
Dentist - Pediatric Dentistry in Knoxville, TN

Q: What is East Tennessee Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since May 08, 2013

1103 CALLAHAN DR, KNOXVILLE, TN 37912(865) 859-0355(865) 859-0227 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About East Tennessee Pediatric Dentistry Pllc NPPES

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

EAST TENNESSEE PEDIATRIC DENTISTRY PLLC (NPI 1609211267) is a healthcare organization registered as a pediatric dentistry in Knoxville, Tennessee and active in the NPI registry since May 2013. The organization lists Jessica Phillips, Owner, as its authorized official.

NPPES Registry Identity

NPI1609211267

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameEAST TENNESSEE PEDIATRIC DENTISTRY PLLC

Location Address1103 CALLAHAN DRKnoxville, TN 37912-1310

Mailing Address1103 Callahan DrKnoxville, TN 37912-1310 · (865) 859-0355 · Fax (865) 859-0227

Phone(865) 859-0355

Fax(865) 859-0227

Organization SubpartNo

Authorized OfficialJessica PhillipsOwner · (865) 859-0355

Enumeration DateMay 8, 2013

Last NPPES UpdateJanuary 9, 2017

✔ NPI 1609211267 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 · 9446

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.

1103 CALLAHAN DR, Knoxville, TN 37912

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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.

DR. ASHLEY RUSSELL DMD

Dentist (Pediatric Dentistry)

1103 CALLAHAN DR
KNOXVILLE, TN 37912

Knox County (865) 859-0355

DR. JESSICA MEGAN PHILLIPS DMD

Dentist (Pediatric Dentistry)

1103 CALLAHAN DR
KNOXVILLE, TN 37912

Knox County (865) 859-0355

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 Pediatric Dentistry PLLC's NPI number?

The NPI number for East Tennessee Pediatric Dentistry PLLC is 1609211267. It was assigned to this organization in the NPPES registry on May 8, 2013.

Where is East Tennessee Pediatric Dentistry PLLC located?

East Tennessee Pediatric Dentistry PLLC is located at 1103 Callahan Dr, Knoxville, TN 37912. The listed phone number is (865) 859-0355.

What is East Tennessee Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for East Tennessee Pediatric Dentistry PLLC was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.