| Children's Dentistry Of Knoxville, Llc | |
|
323 Fox Rd Suite 100 Knoxville TN 37922-3578 | |
| (865) 357-5560 | |
| (865) 357-5562 |
| Full Name | Children's Dentistry Of Knoxville, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 323 Fox Rd, Knoxville, Tennessee |
| Authorized Official Name and Position | Darryl Edward Phillips (OWNER/DENTIST) |
| Authorized Official Contact | 8653575560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Knoxville, Llc 323 Fox Rd Suite 100 Knoxville TN 37922-3578 Ph: (865) 357-5560 | Children's Dentistry Of Knoxville, Llc 323 Fox Rd Suite 100 Knoxville TN 37922-3578 Ph: (865) 357-5560 |
| NPI Number | 1407156300 |
|---|---|
| Provider Enumeration Date | 10/25/2010 |
| Last Update Date | 10/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407156300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 8478 (Tennessee) | Primary |
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