OrganizationActive
Cda - Fort Sanders West
NPI 1104690924 · General Practice Dentistry · Knoxville, TN
Cda - Fort Sanders West is a General Practice Dentistry organization in Knoxville, TN (NPI 1104690924).
Provider details
- NPI number
- 1104690924
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gary Prince, Insurance Coordinator(865) 539-6030
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
280 Fort Sanders West Blvd Ste 117
Knoxville, TN 37922-3352
Phone: (865) 539-6030
Fax: (865) 539-6768
Street-level locationGet directions
Mailing address
280 Fort Sanders West Blvd Ste 117
Knoxville, TN 37922-3352
Registry dates
- Enumerated
- 2023-11-13
- Last updated
- 2023-11-13
- Certified
- 2023-11-13
Frequently asked questions
- What is Cda - Fort Sanders West's NPI number?
- Cda - Fort Sanders West's National Provider Identifier (NPI) is 1104690924, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cda - Fort Sanders West?
- Cda - Fort Sanders West is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Cda - Fort Sanders West located?
- Cda - Fort Sanders West's practice location on file with NPPES is 280 Fort Sanders West Blvd Ste 117, Knoxville, TN 37922-3352.
- What is Cda - Fort Sanders West's phone number?
- The practice phone number listed in the NPPES registry for Cda - Fort Sanders West is (865) 539-6030.
- Who is the authorized official for Cda - Fort Sanders West?
- The authorized official listed on Cda - Fort Sanders West's NPPES record is Gary Prince, Insurance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cda - Fort Sanders West's NPI active?
- Yes — Cda - Fort Sanders West's NPI (1104690924) is active in the NPPES registry as of the last update on 2023-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.