| Project Dental Access, Inc. | |
|
9329 Middlebrook Pike Knoxville TN 37931-4704 | |
| (865) 333-1611 | |
| (800) 879-9969 |
| Full Name | Project Dental Access, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 9329 Middlebrook Pike, Knoxville, Tennessee |
| Authorized Official Name and Position | Debra M Hall Fisher (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8653331611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Dental Access, Inc. Po Box 31107 Knoxville TN 37930-1107 Ph: (865) 333-1611 | Project Dental Access, Inc. 9329 Middlebrook Pike Knoxville TN 37931-4704 Ph: (865) 333-1611 |
| NPI Number | 1467968701 |
|---|---|
| Provider Enumeration Date | 12/22/2017 |
| Last Update Date | 12/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467968701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS (Tennessee) | Secondary |
| 122300000X | Dentist | DS4867 (Tennessee) | Primary |
| 261QD0000X | Clinic/center - Dental | DS (Tennessee) | Secondary |
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