CRESTVIEW DENTAL CARE, P.C. (NPI# 1801116272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801116272 |
| Entity Type | Organization |
| Organization Name | CRESTVIEW DENTAL CARE, P.C. |
| Practice Address |
1850 Crest Road Maryville TN 37804-4305 |
| Practice Telephone | 8659821700 |
| Practice Fax Number | 8659821746 |
| Mailing Telephone | 8659821700 |
| Mailing Fax Number | 8659821746 |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |
| Authorized Official Name | THOMAS WESLEY SPEARS (DENTIST) |
| Authorized Official Telephone | 8659821700 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
8734 | LA | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4735 | TN | Dental Providers |
| Street Address |
1850 CREST ROAD |
| City | MARYVILLE |
| State | TN |
| Zip Code | 37804-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835825 | Matthew David Mallory | Physical Therapist | Morning View Village 2320 E. Lamar Alexander Parway, Maryville, TN 37804 | 2019-01-22 |
| 1063937290 | Rachel Ryan Mcmillan | Counselor | 362 High Street, Maryville, TN 37804 | 2017-08-09 |
| 1316461460 | Steven Casey Boring | Nurse Practitioner | 907 E. Lamar Alexander Pkwy., Maryville, TN 37804 | 2017-07-31 |
| 1851738751 | Robert Kane Mccall | Pathology | 250 E. Broadway, Maryville, TN 37804 | 2013-05-31 |
| 1619242849 | Jennifer Mcclements | Physical Therapy Assistant | 4004 Samuel Circle, Maryville, TN 37804 | 2012-03-21 |
| 1316223886 | Sabrina Nicole Powers | Social Worker | 1704 East Broadway, Maryville, TN 37804 | 2011-10-28 |
| 1407138381 | Russmann, Inc. | Ambulance | 4163 Benny Delozier Drive, Maryville, TN 37804 | 2011-09-15 |
| 1184932485 | Complete Family Care of Maryville, Pllc | Internal Medicine | 2004 E. Broadway, Maryville, TN 37804 | 2010-09-21 |
| 1093975096 | Kristi Clark Correll | Speech-Language Pathologist | 2030 East Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-12 |
| 1134388267 | Barbara Frantz Poulsen | Speech-Language Pathologist | 2030 E Lamar Alexander Parkway, Maryville, TN 37804 | 2008-06-04 |
| Find all providers in zip 37804 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811463334 | Thomas Spencer Jackson | Dentist | 1507 E Lamar Alexander Pkwy, Maryville, TN 37804-5131 | 2018-10-23 |
| 1669801734 | Patrick Huelsmann | Dentist | 2933 Maryville Rd, Maryville, IL 62062-5400 | 2013-11-08 |
| 1447545975 | George Albert Hall | Dentist | 315 Whitecrest Drive, Maryville, TN 37801-3889 | 2011-06-13 |
| 1386936011 | Compass Dental Group, LLC | Dentist | 231 E Summit Dr, Maryville, MO 64468-3617 | 2011-05-13 |
| 1679709612 | Patrick M Jordan | Dentist | 2825 S Main St, Maryville, MO 64468-3605 | 2009-06-04 |
| 1447412630 | Robert Ramsey | Dentist | 331 W Broadway Ave, Maryville, TN 37801-4707 | 2008-06-28 |
| 1760652812 | Ronald W Spencer | Dentist | 207 Southdowne Dr, Maryville, TN 37801-3747 | 2008-03-05 |
| 1679786578 | Leon Charles Yount | Dentist | 527 W Lamar Alexander Pkwy, Maryville, TN 37801-4701 | 2007-05-07 |
| 1326260647 | Dental Professionals of Illinois, P.C. | Dentist | 4971 S. State Rte 159, Maryville, IL 62062 | 2007-05-03 |
| 1336368885 | John M. Beatty | Dentist | 2717 N Center St, Maryville, IL 62062-5623 | 2007-04-24 |
| Find all providers in MARYVILLE | ||||
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| 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.