| Knoxville Pediatric Dentistry, Pllc | |
|
2944 Tazewell Pike Ste 1 Knoxville TN 37918-1990 | |
| (865) 522-5437 | |
| (865) 588-1862 |
| Full Name | Knoxville Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2944 Tazewell Pike Ste 1, Knoxville, Tennessee |
| Authorized Official Name and Position | Ceann Gerrity (OFFICE MANAGER) |
| Authorized Official Contact | 8655225437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knoxville Pediatric Dentistry, Pllc 2944 Tazewell Pike Ste 1 Knoxville TN 37918-1990 Ph: (865) 522-5437 | Knoxville Pediatric Dentistry, Pllc 2944 Tazewell Pike Ste 1 Knoxville TN 37918-1990 Ph: (865) 522-5437 |
| NPI Number | 1649879271 |
|---|---|
| Provider Enumeration Date | 10/24/2020 |
| Last Update Date | 10/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649879271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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