| Dickenson Dental | |
|
2620 Mineral Springs Ave Knoxville TN 37917-1569 | |
| (865) 688-4442 | |
| Not Available |
| Full Name | Dickenson Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2620 Mineral Springs Ave, Knoxville, Tennessee |
| Authorized Official Name and Position | Brent M Dickenson (DENTIST) |
| Authorized Official Contact | 8653143859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dickenson Dental 10323 Evening Ridge Ln Knoxville TN 37922-7244 Ph: () - | Dickenson Dental 2620 Mineral Springs Ave Knoxville TN 37917-1569 Ph: (865) 688-4442 |
| NPI Number | 1043730005 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 06/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043730005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9681 (Tennessee) | Primary |
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