| East Tennessee Pediatric Dentistry At Oak Ridgepllc. | |
|
500 Oak Ridge Tpke Oak Ridge TN 37830-7109 | |
| (865) 859-0357 | |
| (865) 859-0247 |
| Full Name | East Tennessee Pediatric Dentistry At Oak Ridgepllc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 500 Oak Ridge Tpke, Oak Ridge, Tennessee |
| Authorized Official Name and Position | Jessica Phillips (OWNER) |
| Authorized Official Contact | 8658590355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Tennessee Pediatric Dentistry At Oak Ridgepllc. 500 Oak Ridge Tpke Oak Ridge TN 37830-7109 Ph: () - | East Tennessee Pediatric Dentistry At Oak Ridgepllc. 500 Oak Ridge Tpke Oak Ridge TN 37830-7109 Ph: (865) 859-0357 |
| NPI Number | 1568952505 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 05/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568952505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9446 (Tennessee) | Primary |
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