Nathan Robertson, DMD
Dentist in Maynardville, TN. Individual provider (NPI-1).
NPI number1871410191
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1871410191
- Entity type
- Individual (NPI-1)
- Name
- Nathan Robertson
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 30, 2026
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 13190 | TN | Yes |
Practice location
3802 Maynardville HwyMaynardville, TN 37807-3413
Phone 865-992-5821
Mailing address
3802 Maynardville HwyMaynardville, TN 37807-3413
Phone 865-992-5821
Other practice locations
1070 Rutledge Pike
Blaine, TN 37709-3027
Blaine, TN 37709-3027
Phone 865-401-2796
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Dentist providers in Maynardville, TN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.