| Division Dental P.c. | |
|
138 E Division Rd Oak Ridge TN 37830-6906 | |
| (865) 272-3661 | |
| (865) 272-3663 |
| Full Name | Division Dental P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 138 E Division Rd, Oak Ridge, Tennessee |
| Authorized Official Name and Position | Kerri Nicole Everson (DENTIST) |
| Authorized Official Contact | 8657894672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Division Dental P.c. 138 E Division Rd Oak Ridge TN 37830-6906 Ph: (865) 272-3661 | Division Dental P.c. 138 E Division Rd Oak Ridge TN 37830-6906 Ph: (865) 272-3661 |
| NPI Number | 1487941746 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487941746 | NPI | - | NPPES |
| 5440305 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8426 (Tennessee) | Primary |
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