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10910 Kingston Pike Unit 105 Knoxville TN 37934-2948 | |
(865) 218-9177 | |
Not Available |
Full Name | |
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Speciality | Dentist - Pediatric Dentistry |
Location | 10910 Kingston Pike Unit 105, Knoxville, Tennessee |
Authorized Official Name and Position | Joseph Reed Townsend (OWNER) |
Authorized Official Contact | 8652189177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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10910 Kingston Pike Unit 105 Knoxville TN 37934-2948 Ph: (865) 218-9177 | 10910 Kingston Pike Unit 105 Knoxville TN 37934-2948 Ph: (865) 218-9177 |
NPI Number | 1750720108 |
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Provider Enumeration Date | 06/19/2013 |
Last Update Date | 02/04/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750720108 | NPI | - | NPPES |
1506673 | Medicaid | TN | |
5440289 | Medicaid | TN | |
1531634 | Medicaid | TN |
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