1. Home
  2. Directory
  3. Tennessee
  4. Kodak
  5. Dentist
  6. NPI Profile

MICA MATHISON DMD
NPI 1891233722
Dentist - General Practice in Kodak, TN

Active since February 11, 2017
2946 WINFIELD DUNN PKWY, KODAK, TN 37764(865) 465-7058 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2020, Jul 10, 2018, Feb 11, 2017 (3 updates tracked since 2017).

About Mica Mathison Dmd NPPES

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

MICA MATHISON DMD (NPI 1891233722) is an individual general practice provider in Kodak, Tennessee, licensed in Tennessee (DS0000010581) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1891233722
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMICA MATHISONCredential: DMD
Location Address2946 WINFIELD DUNN PKWYKodak, TN 37764-4306
Mailing Address2946 Winfield Dunn PkwyKodak, TN 37764-4306 · (865) 465-7058
Phone(865) 465-7058
Sole ProprietorNo
Enumeration DateFebruary 11, 2017
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1891233722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TN · DS0000010581✔ Licensed in GA · DN015719
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2946 WINFIELD DUNN PKWY, Kodak, TN 37764
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WHITNEY DREES PHARMD
Pharmacist
2946 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 933-4676
ASHLYN JONES LOY PHARMD.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2946 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 933-4676
WILLIAM MITCHELL DPT
Physical Therapist
2946 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 932-1088
MORGAN TAYLOR HARDISON
Nurse Practitioner (Family)
2946 WINFIELD DUNN PKWY
KODAK, TN 37764
Sevier County (865) 933-9950
DR. ETHAN MICHAEL LONG DDS
Dentist
2946 WINFIELD DUNN PKWY, SUITE 301
KODAK, TN 37764
Sevier County (865) 465-7058
EUGENE STINSON DDS
Dentist (General Practice)
2946 WINFIELD DUNN PKWY, SUITE 301
KODAK, TN 37764
Sevier County (865) 465-7058
GABRIELLE ALYSSA BROADBENT PT, DPT
Physical Therapist
2946 WINFIELD DUNN PKWY, STE 106
KODAK, TN 37764
Sevier County (865) 932-1088

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 Mica Mathison's NPI number?

The NPI number for Mica Mathison is 1891233722. It was assigned to this individual provider in the NPPES registry on February 11, 2017.

Where is Mica Mathison located?

Mica Mathison practices at 2946 Winfield Dunn Pkwy, Kodak, TN 37764. The listed phone number is (865) 465-7058.

What is Mica Mathison's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Mica Mathison accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Mica Mathison 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 Mica Mathison was last updated on October 26, 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.