| Cornerstone Dental Associates Executive Park Pllc | |
|
8925 Executive Park Dr Knoxville TN 37923-4708 | |
| (865) 693-8871 | |
| Not Available |
| Full Name | Cornerstone Dental Associates Executive Park Pllc |
|---|---|
| Speciality | Dentist |
| Location | 8925 Executive Park Dr, Knoxville, Tennessee |
| Authorized Official Name and Position | Rebecca M Tucker (OPERATIONS MANAGER) |
| Authorized Official Contact | 8655317117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Dental Associates Executive Park Pllc 8912 Town And Country Cir Knoxville TN 37923-4900 Ph: (865) 531-7117 | Cornerstone Dental Associates Executive Park Pllc 8925 Executive Park Dr Knoxville TN 37923-4708 Ph: (865) 693-8871 |
| NPI Number | 1649930728 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649930728 | NPI | - | NPPES |
| 1205969524 | Other | TN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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