OrganizationActive
Etowah Dental
NPI 1215243795 · Dentist · Etowah, TN
Etowah Dental is a Dentist organization in Etowah, TN (NPI 1215243795).
Provider details
- NPI number
- 1215243795
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Raymond Pate, Ceo(423) 333-5656
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
620 Tennessee Ave
Etowah, TN 37331-1304
Phone: (423) 623-7315
Fax: (423) 626-5055
Street-level locationGet directions
Mailing address
620 Tennessee Ave
Etowah, TN 37331-1304
Registry dates
- Enumerated
- 2010-08-23
- Last updated
- 2010-08-23
Frequently asked questions
- What is Etowah Dental's NPI number?
- Etowah Dental's National Provider Identifier (NPI) is 1215243795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Etowah Dental?
- Etowah Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Etowah Dental located?
- Etowah Dental's practice location on file with NPPES is 620 Tennessee Ave, Etowah, TN 37331-1304.
- What is Etowah Dental's phone number?
- The practice phone number listed in the NPPES registry for Etowah Dental is (423) 623-7315.
- Who is the authorized official for Etowah Dental?
- The authorized official listed on Etowah Dental's NPPES record is Raymond Pate, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Etowah Dental's NPI active?
- Yes — Etowah Dental's NPI (1215243795) is active in the NPPES registry as of the last update on 2010-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.