FOOTHILLS PEDIATRIC DENTRISTRY, P.C.
NPI 1629029657
Dentist - Pediatric Dentistry in Maryville, TN

Active since May 15, 2006
121 PARLIAMENT DR, MARYVILLE, TN 37804(865) 977-8700(865) 977-5464 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Foothills Pediatric Dentristry, P.c. NPPES

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

FOOTHILLS PEDIATRIC DENTRISTRY, P.C. (NPI 1629029657) is a healthcare organization registered as a pediatric dentistry in Maryville, Tennessee and active in the NPI registry since May 2006. The organization lists Garry Drew Osborn, Owner/dentisit, as its authorized official.

NPPES Registry Identity

NPI1629029657
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFOOTHILLS PEDIATRIC DENTRISTRY, P.C.
Location Address121 PARLIAMENT DRMaryville, TN 37804-6210
Mailing Address121 Parliament DrMaryville, TN 37804-6210 · (865) 977-8700 · Fax (865) 977-5464
Fax(865) 977-5464
Organization SubpartNo
Authorized OfficialGarry Drew OsbornOwner/dentisit · (865) 977-8700
Enumeration DateMay 15, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1629029657 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 · 7965
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.
121 PARLIAMENT DR, Maryville, TN 37804

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.

Dentist (Pediatric Dentistry)
121 PARLIAMENT DR
MARYVILLE, TN 37804
Dentist (Pediatric Dentistry)
121 PARLIAMENT DR
MARYVILLE, TN 37804
Dentist (Pediatric Dentistry)
121 PARLIAMENT DR
MARYVILLE, TN 37804

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 Foothills Pediatric Dentristry, P.C.'s NPI number?

The NPI number for Foothills Pediatric Dentristry, P.C. is 1629029657. It was assigned to this organization in the NPPES registry on May 15, 2006.

Where is Foothills Pediatric Dentristry, P.C. located?

Foothills Pediatric Dentristry, P.C. is located at 121 Parliament Dr, Maryville, TN 37804. The listed phone number is (865) 977-8700.

What is Foothills Pediatric Dentristry, P.C.'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 Foothills Pediatric Dentristry, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.