OrganizationActive
East Tennessee Pediatric Dentistry PLLC
NPI 1609211267 · Pediatric Dentistry · Knoxville, TN
East Tennessee Pediatric Dentistry PLLC is a Pediatric Dentistry organization in Knoxville, TN (NPI 1609211267).
Provider details
- NPI number
- 1609211267
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jessica Phillips, Owner(865) 859-0355
- License
- 9446 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1103 Callahan Dr
Knoxville, TN 37912-1310
Phone: (865) 859-0355
Fax: (865) 859-0227
Street-level locationGet directions
Mailing address
1103 Callahan Dr
Knoxville, TN 37912-1310
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2017-01-09
Frequently asked questions
- What is East Tennessee Pediatric Dentistry PLLC's NPI number?
- East Tennessee Pediatric Dentistry PLLC's National Provider Identifier (NPI) is 1609211267, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee Pediatric Dentistry PLLC?
- East Tennessee Pediatric Dentistry PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is East Tennessee Pediatric Dentistry PLLC located?
- East Tennessee Pediatric Dentistry PLLC's practice location on file with NPPES is 1103 Callahan Dr, Knoxville, TN 37912-1310.
- What is East Tennessee Pediatric Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for East Tennessee Pediatric Dentistry PLLC is (865) 859-0355.
- Who is the authorized official for East Tennessee Pediatric Dentistry PLLC?
- The authorized official listed on East Tennessee Pediatric Dentistry PLLC's NPPES record is Jessica Phillips, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is East Tennessee Pediatric Dentistry PLLC's NPI active?
- Yes — East Tennessee Pediatric Dentistry PLLC's NPI (1609211267) is active in the NPPES registry as of the last update on 2017-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.