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

Etowah Dental

Organization Dentist · NPI 1215243795

Etowah Dental is a Dentist in Etowah, Tennessee. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

620 Tennessee Ave
Etowah, TN 37331-1304
Phone: (423) 623-7315
Fax: (423) 626-5055
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1215243795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Pate — Ceo · (423) 333-5656
NPI enumeratedAugust 23, 2010
Last updated in NPPESAugust 23, 2010
Mailing address620 Tennessee Ave, Etowah, TN 37331-1304

Other providers in Etowah