Healthcare Provider Details

I. General information

NPI: 1225916372
Provider Name (Legal Business Name): NORRIS DENTISTRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2685 ANDERSONVILLE HWY
CLINTON TN
37716-6724
US

IV. Provider business mailing address

225 MAIN ST STE 400
DAYTON TN
37321-1329
US

V. Phone/Fax

Practice location:
  • Phone: 865-494-5274
  • Fax: 423-428-9270
Mailing address:
  • Phone: 865-494-5274
  • Fax: 423-428-9270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MRS. MARCY L KAY
Title or Position: INSURANCE ADMINISTRATOR
Credential:
Phone: 423-762-9992