Pediatric Dental Partners | |
10238 Hardin Valley Rd Knoxville TN 37932-1609 | |
(865) 229-4969 | |
Not Available |
Full Name | Pediatric Dental Partners |
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Speciality | Dentist - Pediatric Dentistry |
Location | 10238 Hardin Valley Rd, Knoxville, Tennessee |
Authorized Official Name and Position | Mary Elizabeth Johnson Fancher (DENTIST/OWNER) |
Authorized Official Contact | 8652294969 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pediatric Dental Partners 4153 Forest Glen Dr Knoxville TN 37919-5214 Ph: (615) 374-8951 | Pediatric Dental Partners 10238 Hardin Valley Rd Knoxville TN 37932-1609 Ph: (865) 229-4969 |
NPI Number | 1831887553 |
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Provider Enumeration Date | 05/01/2023 |
Last Update Date | 05/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831887553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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