| East Tennessee Orthodontics | |
|
1143 Oak Ridge Tpke Ste 206 Oak Ridge TN 37830-6482 | |
| (865) 312-6264 | |
| (865) 415-0534 |
| Full Name | East Tennessee Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1143 Oak Ridge Tpke Ste 206, Oak Ridge, Tennessee |
| Authorized Official Name and Position | Justin Trisler (ORTHODONTIST) |
| Authorized Official Contact | 5028021281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Tennessee Orthodontics 1143 Oak Ridge Tpke Ste 206 Oak Ridge TN 37830-6482 Ph: (865) 312-6264 | East Tennessee Orthodontics 1143 Oak Ridge Tpke Ste 206 Oak Ridge TN 37830-6482 Ph: (865) 312-6264 |
| NPI Number | 1790520773 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790520773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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