Bearden Pediatric Dentistry Pllc

NPI 1083975536 - Special Hospital - 284300000X

NPI Details
NPI 1083975536
Enumeration Date 05/31/2012
Last Updated 08/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ELIZABETH ANN ELIZABETH
Position DDS
Phone (865) 851-9347
Fax (865) 851-7849
Practice Location
601 CONCORD ST
SUITE 102-104
KNOXVILLE TN, 37919-3307, US
Phone (865) 851-9347
Fax (865) 851-7849
Business Location
601 CONCORD ST
SUITE 102-104
KNOXVILLE TN, 37919-3307, US
Phone (865) 851-9347
Fax (865) 851-7849
Toxanomy
Taxonomy Code 284300000X
License State Tennessee
License Number DS8702
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According to our database, Bearden Pediatric Dentistry Pllc NPI is 1083975536, taxonomy code is 284300000X and license number is DS8702, license state is located at Tennessee. Bearden Pediatric Dentistry Pllc physically located at 601 Concord St, Knoxville TN, 37919-3307. NPI Number 1033115704 has the healthcare provider type.

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1083975536 NPI number is provided on an as is basis without warranty of any kind. 1083975536 is maintained by the National Plan & Provider Enumeration System. The contents of Bearden Pediatric Dentistry Pllc are for informational purposes only.