Tennessee Valley Dental | |
10641 Deerbrook Dr Knoxville TN 37922-1978 | |
(865) 671-1255 | |
Not Available |
Full Name | Tennessee Valley Dental |
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Speciality | Clinic/center - Dental |
Location | 10641 Deerbrook Dr, Knoxville, Tennessee |
Authorized Official Name and Position | Joshua Lynn Eades (OWNER/DENTIST) |
Authorized Official Contact | 8656711255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tennessee Valley Dental 10641 Deerbrook Dr Knoxville TN 37922-1978 Ph: (865) 671-1255 | Tennessee Valley Dental 10641 Deerbrook Dr Knoxville TN 37922-1978 Ph: (865) 671-1255 |
NPI Number | 1235468760 |
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Provider Enumeration Date | 12/11/2009 |
Last Update Date | 10/27/2011 |
Identifier | Type | State | Issuer |
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1235468760 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | 8200 (Tennessee) | Primary |
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