| Knoxville Pediatric Dentistry, Pllc | |
|
705 Gate Lane Suite 101 Knoxville TN 37909 | |
| (865) 522-5437 | |
| (865) 588-1862 |
| Full Name | Knoxville Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 705 Gate Lane, Knoxville, Tennessee |
| Authorized Official Name and Position | Joseph Reed Townsend (DENTIST/OWNER) |
| Authorized Official Contact | 8655225437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knoxville Pediatric Dentistry, Pllc 705 Gate Lane Suite 101 Knoxville TN 37909 Ph: (865) 522-5437 | Knoxville Pediatric Dentistry, Pllc 705 Gate Lane Suite 101 Knoxville TN 37909 Ph: (865) 522-5437 |
| NPI Number | 1447418736 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 02/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447418736 | NPI | - | NPPES |
| 1506673 | Medicaid | TN | |
| 5440289 | Medicaid | TN | |
| 1531634 | Medicaid | TN | |
| 5440284 | Medicaid | TN |
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