Provider Demographics
NPI:1851701957
Name:J.T. MAJOR DDS PC
Entity Type:Organization
Organization Name:J.T. MAJOR DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:MAJOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:865-688-4112
Mailing Address - Street 1:3019 SANDERS DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-1867
Mailing Address - Country:US
Mailing Address - Phone:865-688-4112
Mailing Address - Fax:
Practice Address - Street 1:3019 SANDERS DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-1867
Practice Address - Country:US
Practice Address - Phone:865-688-4112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2326261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1517611Medicaid