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1962343269 NPI number — HOUSE MOUNTAIN DENTISTRY

NPI Number: 1962343269
Health Care Provider/Practitioner: HOUSE MOUNTAIN DENTISTRY

Information about “1962343269” NPI (HOUSE MOUNTAIN DENTISTRY) exists in 1962343269 in HTML format HTML  |  1962343269 in plain Text format TXT  |  1962343269 in PDF (Portable Document Format) PDF  |  1962343269 in an XML format XML  formats.

NPI Number : 1962343269 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1962343269",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "HOUSE MOUNTAIN DENTISTRY",
    "ParentOrgTIN": null,
    "OrgName": "HOUSE MOUNTAIN DENTISTRY",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3802 MAYNARDVILLE HWY",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MAYNARDVILLE",
    "MailingAddressStateName": "TN",
    "MailingAddressPostalCode": "37807-3413",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "865-992-5821",
    "MailingAddressFaxNumber": "865-992-3042",
    "FirstLinePracticeLocationAddress": "1070 RUTLEDGE PIKE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLAINE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37709-3027",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "865-401-2796",
    "PracticeLocationAddressFaxNumber": "865-992-3042",
    "EnumerationDate": "04/02/2026",
    "LastUpdateDate": "04/02/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LONG",
    "AuthorizedOfficialFirstName": "DEBBIE",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "RDH",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "865-992-5821",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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