| Knoxville Pediatric Dentistry, Pllc | |
|
10910 Kingston Pike Unit 105 Knoxville TN 37934-2948 | |
| (865) 218-9177 | |
| Not Available |
| Full Name | Knoxville Pediatric Dentistry, Pllc |
|---|---|
| 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 |
|---|---|
| Knoxville Pediatric Dentistry, Pllc 10910 Kingston Pike Unit 105 Knoxville TN 37934-2948 Ph: (865) 218-9177 | Knoxville Pediatric Dentistry, Pllc 10910 Kingston Pike Unit 105 Knoxville TN 37934-2948 Ph: (865) 218-9177 |
| NPI Number | 1750720108 |
|---|---|
| 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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