| Pediatric Dentistry Pc | |
|
209 E Emory Rd Ste 101 Powell TN 37849-4016 | |
| (865) 558-8857 | |
| (865) 558-8857 |
| Full Name | Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 209 E Emory Rd Ste 101, Powell, Tennessee |
| Authorized Official Name and Position | Valerie A Esker (OWNER/PEDIATRIC DENTIST) |
| Authorized Official Contact | 8655588857 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dentistry Pc 209 E Emory Rd Ste 101 Powell TN 37849-4016 Ph: (865) 558-8857 | Pediatric Dentistry Pc 209 E Emory Rd Ste 101 Powell TN 37849-4016 Ph: (865) 558-8857 |
| NPI Number | 1699283432 |
|---|---|
| Provider Enumeration Date | 01/15/2018 |
| Last Update Date | 01/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699283432 | NPI | - | NPPES |
| 1467573911 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 1902 (Tennessee) | Primary |
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