| Associated Dental Professionals West | |
|
8874 Kingston Pike Suite 102 Knoxville TN 37923-5013 | |
| (865) 691-2330 | |
| (865) 691-2344 |
| Full Name | Associated Dental Professionals West |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8874 Kingston Pike, Knoxville, Tennessee |
| Authorized Official Name and Position | Mark T Barker (PRESIDENT) |
| Authorized Official Contact | 8656912330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Dental Professionals West 8874 Kingston Pike, Suite 102 Associated Dental Professionals West Knoxville TN 37923-5013 Ph: (865) 691-2330 | Associated Dental Professionals West 8874 Kingston Pike Suite 102 Knoxville TN 37923-5013 Ph: (865) 691-2330 |
| NPI Number | 1457591190 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457591190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS 3638 (Tennessee) | Primary |
| 1223G0001X | Dentist - General Practice | DS 5278 (Tennessee) | Secondary |
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