DR. TRENT DENNISON DOUGLAS M.D. NPI 1023176302

NPI Information

  • NPI: 1023176302
  • Provider Name: DR. TRENT DENNISON DOUGLAS, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 109 S NORTHSHORE DR STE 101
    KNOXVILLE, TN
    ZIP 37919
  • Phone: (865) 450-9253

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NPI Details

DR. Trent Dennison Douglas, M.D. is a plastic and reconstructive surgery surgery in Knoxville, TN. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Trent Dennison Douglas, M.D. NPI is 1023176302. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

109 S NORTHSHORE DR STE 101
KNOXVILLE, TN
ZIP 37919-925
Phone: (865) 450-9253

The NPI 1023176302 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 4/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive Surgery73580TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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