| Knoxville Periodontics, P.c. | |
|
140 Market Place Blvd Knoxville TN 37922-2337 | |
| (865) 693-2331 | |
| (865) 691-8340 |
| Full Name | Knoxville Periodontics, P.c. |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 140 Market Place Blvd, Knoxville, Tennessee |
| Authorized Official Name and Position | William E. Rogers (PRESIDENT) |
| Authorized Official Contact | 8656932331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Knoxville Periodontics, P.c. 140 Market Place Blvd Knoxville TN 37922-2337 Ph: (865) 693-2331 | Knoxville Periodontics, P.c. 140 Market Place Blvd Knoxville TN 37922-2337 Ph: (865) 693-2331 |
| NPI Number | 1528293164 |
|---|---|
| Provider Enumeration Date | 05/27/2009 |
| Last Update Date | 05/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528293164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DS2188 (Tennessee) | Primary |
| 1223P0300X | Dentist - Periodontics | DS8666 (Tennessee) | Secondary |
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