| Knoxville Dental, Pc | |
|
1547 Downtown West Blvd Knoxville TN 37919-5407 | |
| (865) 247-5570 | |
| (865) 247-5053 |
| Full Name | Knoxville Dental, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1547 Downtown West Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | Terrie Liane Cribbs (PRESIDENT/OWNER) |
| Authorized Official Contact | 8652475570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Knoxville Dental, Pc 1547 Downtown West Blvd Knoxville TN 37919-5407 Ph: (865) 247-5570 | Knoxville Dental, Pc 1547 Downtown West Blvd Knoxville TN 37919-5407 Ph: (865) 247-5570 |
| NPI Number | 1427792357 |
|---|---|
| Provider Enumeration Date | 04/26/2022 |
| Last Update Date | 04/26/2022 |
| Medicare PECOS PAC ID | 2365817228 |
|---|---|
| Medicare Enrollment ID | O20230405003168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427792357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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