HOUSE MOUNTAIN DENTISTRY NPI 1558957159

NPI Information

  • NPI: 1558957159
  • Provider Name: HOUSE MOUNTAIN DENTISTRY
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 3802 MAYNARDVILLE HWY
    MAYNARDVILLE, TN
    ZIP 37807
  • Phone: (865) 992-5821

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NPI Details

HOUSE MOUNTAIN DENTISTRY is a general practice dentist in Maynardville, TN. The provider is 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. HOUSE MOUNTAIN DENTISTRY NPI is 1558957159. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3802 MAYNARDVILLE HWY
MAYNARDVILLE, TN
ZIP 37807-413
Phone: (865) 992-5821
Fax: (865) 992-3042

The provider's authorized official is Debbie M Long .
The authorized official title is Office Manager and has the following contact phone number (865) 992-5821.

The enumeration date for this NPI number is 12/17/2020 and was last updated on 12/17/2020.

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
11223G0001XDentistGeneral PracticeYes

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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