| Miss Tara Helen Ericson, DDS | |
|
1212 North Kentucky St, Kingston, TN 37763-2328 | |
| (865) 717-3586 | |
| Not Available |
| Full Name | Miss Tara Helen Ericson |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 1212 North Kentucky St, Kingston, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598921827 | NPI | - | NPPES |
| 1518433 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 57389 (California) | Secondary |
| 122300000X | Dentist | 9108 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Tara Helen Ericson, DDS 1203 Old North Kentucky St, Kingston, TN 37763-2028 Ph: (865) 717-3586 | Miss Tara Helen Ericson, DDS 1212 North Kentucky St, Kingston, TN 37763-2328 Ph: (865) 717-3586 |
Dr. Leonard Ray Fuqua Jr., DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 505 N Kentucky St, Kingston, TN 37763 Phone: 865-376-4445 Fax: 865-376-4441 | |
Dr. Kevin Christopher Law, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 820 N Kentucky St, Kingston, TN 37763 Phone: 865-717-3586 | |
Dr. Joshua Adam Walker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 Waterford Pl, Kingston, TN 37763 Phone: 865-248-2199 | |
Dr. Evon Elizabeth Hulse, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1212 N Kentucky St, Kingston, TN 37763 Phone: 865-717-3586 Fax: 865-717-3581 | |
Eric Larson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 Waterford Pl, Kingston, TN 37763 Phone: 865-376-9687 | |
Dr. Kerri Nicole Everson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 820 N Kentucky St, Kingston, TN 37763 Phone: 865-717-3586 |