# TENNESSEE RIVER DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568854875
- **Authorized official:** DR. MARCUS KENNETH RANDALL (OWNER)
- **Authorized official phone:** (423) 877-3848

## Contact information

- **Practice address:** 2835 NORTHPOINT BLVD STE 105, HIXSON, TN 37343-4862
- **Practice address phone:** (423) 877-3848
- **Practice address fax:** (423) 877-3726
- **Mailing address:** 2835 NORTHPOINT BLVD STE 105, HIXSON, TN 37343-4862
- **Mailing address phone:** (423) 877-3848
- **Mailing address fax:** (423) 877-3726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | 3483 | TN | — |
| 261QD0000X | Dental Clinic/Center | 9947 | TN | Yes |

## Other

- **Enumeration date:** 02/23/2015
- **Last updated:** 08/06/2026