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MARYVILLE MODERN DENTISTRY
NPI 1679056683
Dentist in Alcoa, TN

Active since September 14, 2018
1053 HUNTERS XING, ALCOA, TN 37701(865) 223-6705 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryville Modern Dentistry NPPES

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

MARYVILLE MODERN DENTISTRY (NPI 1679056683) is a healthcare organization registered as a dentist in Alcoa, Tennessee and active in the NPI registry since September 2018. The organization lists Philip Bates, Owner/dds, as its authorized official.

NPPES Registry Identity

NPI1679056683
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameMARYVILLE MODERN DENTISTRY, PC
Location Address1053 HUNTERS XINGAlcoa, TN 37701-1850
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892
Phone(865) 223-6705
Organization SubpartNo
Authorized OfficialPhilip BatesOwner/dds · (865) 223-6705
Enumeration DateSeptember 14, 2018
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1679056683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1053 HUNTERS XING, Alcoa, TN 37701
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Other Names 1

Doing Business AsMaryville Modern Dentistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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.

DR. PHILIP HOLDEN BATES DMD
Dentist (General Practice)
1053 HUNTERS XING
ALCOA, TN 37701
Blount County (865) 223-6705
DR. BENJAMIN VILENSKY DDS
Dentist
1053 HUNTERS XING
ALCOA, TN 37701
Blount County (865) 223-6705
CASSIDY BEAR SHULL
Dentist
1053 HUNTERS XING
ALCOA, TN 37701
Blount County (865) 223-6705

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 Maryville Modern Dentistry, PC's NPI number?

The NPI number for Maryville Modern Dentistry, PC is 1679056683. It was assigned to this organization in the NPPES registry on September 14, 2018. The provider is doing business as Maryville Modern Dentistry.

Where is Maryville Modern Dentistry, PC located?

Maryville Modern Dentistry, PC is located at 1053 Hunters Xing, Alcoa, TN 37701. The listed phone number is (865) 223-6705.

What is Maryville Modern Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Maryville Modern Dentistry, PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Maryville Modern Dentistry, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maryville Modern Dentistry, PC was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.