Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Tennessee Pediatric Dentistry at Oak Ridgepllc

Organization Pediatric Dentistry · NPI 1568952505

East Tennessee Pediatric Dentistry at Oak Ridgepllc is a Pediatric Dentistry in Oak Ridge, Tennessee. Licensed in Tennessee. Registered with an NPI since 2018.

Licensed in
TN
In the registry since
2018

Practice location Address checks out

500 Oak Ridge Tpke
Oak Ridge, TN 37830-7109
Phone: (865) 859-0357
Fax: (865) 859-0247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 9446 (TN)

Record details

NPI number1568952505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Phillips — Owner · (865) 859-0355
NPI enumeratedMay 15, 2018
Last updated in NPPESMay 15, 2018
Mailing address500 Oak Ridge Tpke, Oak Ridge, TN 37830-7109

Other providers in Oak Ridge