| Bearden Pediatric Dentistry Pllc | |
|
601 Concord St Suite 102-104 Knoxville TN 37919-3307 | |
| (865) 851-9347 | |
| (865) 851-7849 |
| Full Name | Bearden Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 601 Concord St, Knoxville, Tennessee |
| Authorized Official Name and Position | Elizabeth Ann Evans (DDS) |
| Authorized Official Contact | 8658519347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bearden Pediatric Dentistry Pllc 601 Concord St Suite 102-104 Knoxville TN 37919-3307 Ph: (865) 851-9347 | Bearden Pediatric Dentistry Pllc 601 Concord St Suite 102-104 Knoxville TN 37919-3307 Ph: (865) 851-9347 |
| NPI Number | 1083975536 |
|---|---|
| Provider Enumeration Date | 05/31/2012 |
| Last Update Date | 08/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083975536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DS8702 (Tennessee) | Primary |
| 284300000X | Special Hospital | DS8702 (Tennessee) | Secondary |
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