| Advanced Dental Concepts Pc | |
|
6311 Kingston Pike Suite 8-w Knoxville TN 37919-4906 | |
| (865) 584-7336 | |
| (865) 584-6208 |
| Full Name | Advanced Dental Concepts Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6311 Kingston Pike, Knoxville, Tennessee |
| Authorized Official Name and Position | Fredrico Albert Dixon (PRESIDENT) |
| Authorized Official Contact | 8655847336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Concepts Pc 6311 Kingston Pike Suite 8-w Knoxville TN 37919-4906 Ph: (865) 584-7336 | Advanced Dental Concepts Pc 6311 Kingston Pike Suite 8-w Knoxville TN 37919-4906 Ph: (865) 584-7336 |
| NPI Number | 1417033804 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 12/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417033804 | NPI | - | NPPES |
| 1525931 | Medicaid | TN | |
| 110001 | Other | TN | TN CARE LOCATION |
| 1508041526 | Other | TN | HYGENIST NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS7270 (Tennessee) | Primary |
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