DR. SAMUEL GRAYSON EDDY JR. (NPI# 1467783787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467783787 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL GRAYSON EDDY JR. |
| Credential | D.D.S. |
| Practice Address |
3221 W John Sevier Hwy Knoxville TN 37920-5540 |
| Practice Telephone | 8655793000 |
| Practice Fax Number | 8655793056 |
| Mailing Telephone | 8655793000 |
| Mailing Fax Number | 8655793056 |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2010-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS1916 | TN | Dental Providers |
| Street Address |
3221 W JOHN SEVIER HWY |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37920-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033747639 | Paul Connor Shanahan | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-109, Knoxville, TN 37920 | 2020-03-30 |
| 1952938904 | Eric Becker | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, U-60, Knoxville, TN 37920 | 2020-03-26 |
| 1174028336 | Taylor Boulware Tapscott | Nurse Practitioner | 3118 Alcoa Highway, Knoxville, TN 37920 | 2018-03-28 |
| 1255860672 | Eric Christopher Riedinger | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy., Box U-11, Knoxville, TN 37920 | 2017-06-08 |
| 1740639277 | Claudia Nieuwoudt | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Highway, Box U-27, Knoxville, Tn 37920, Knoxville, TN 37920 | 2016-06-06 |
| 1841657699 | Frances D Thompson | Physical Therapy Assistant | 717 Lower Pond Way, Knoxville, TN 37920 | 2016-01-25 |
| 1720457989 | Independent Physical Therapy, LLC | Occupational Therapist | 7558 Mountain Grove Dr, Knoxville, TN 37920 | 2015-09-17 |
| 1982071189 | Ryan Dulling | Physical Therapist | 4011 Chapman Hwy Ste J, Knoxville, TN 37920 | 2015-08-24 |
| 1154705614 | Kailyn Sorensen | Physical Therapist | 1926 Alcoa Hwy Ste 200, Knoxville, TN 37920 | 2015-07-15 |
| 1093196420 | James Michael Hart II | Family Medicine | 1925 Alcoa Hwy # 56, Knoxville, TN 37920 | 2015-06-11 |
| Find all providers in zip 37920 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523703 | Evan James Agnetta | Dentist | 6311 Kingston Pike Ste 26w, Knoxville, TN 37919-4900 | 2020-09-18 |
| 1821431149 | Joseph Hicks | Dentist | 11221 W Point Dr, Knoxville, TN 37934-2838 | 2013-04-17 |
| 1285904425 | W Thomas Pattison | Dentist | 5202 Schubert Rd, Knoxville, TN 37912-3834 | 2012-01-05 |
| 1659566354 | Robert Andrew Turner | Dentist | 120 Capitol Dr, Suite 104, Knoxville, TN 37922-3475 | 2007-09-06 |
| 1497812036 | Dana Ray Martin | Dentist | 9950 Kingston Pike, Suite 210, Knoxville, TN 37922-3319 | 2007-01-02 |
| 1730266594 | Hicks Orthodontics | Dentist | 11221 W Point Drive, Knoxville, TN 37934-2838 | 2006-11-01 |
| 1740386150 | Christopher O'rourke | Dentist | 11226 W Point Dr, Knoxville, TN 37934-2837 | 2006-09-15 |
| 1295830198 | Richard M. Bowles | Dentist | 309 Concord St # C, Knoxville, TN 37919-3304 | 2006-09-14 |
| 1336244243 | Ryan G. Bowles | Dentist | 2276 Valley Vista Road, Knoxville, TN 37932 | 2006-09-14 |
| 1215039250 | Kristin Watson Knierim | Dentist | 601 S Concord St, Suite100, Knoxville, TN 37919-3306 | 2006-09-01 |
| Find all providers in KNOXVILLE | ||||
Please comment or provide details below to improve the information on DR. SAMUEL GRAYSON EDDY JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.