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

Maryville Modern Dentistry, PC

Organization Dentist · NPI 1679056683

Maryville Modern Dentistry, PC is a Dentist in Alcoa, Tennessee. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1053 Hunters Xing
Alcoa, TN 37701-1850
Phone: (865) 223-6705
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 number1679056683
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Bates — Owner/Dds · (865) 223-6705
Other names Maryville Modern Dentistry; Maryville Modern Dentistry
NPI enumeratedSeptember 14, 2018
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

Other providers in Alcoa