Walter D. Fain D.d.s. P.c.

NPI 1528192861 - Dentist - 122300000X

NPI Details
NPI 1528192861
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WALTER D. WALTER
Position PRESIDENT
Phone (865) 524-4697
Fax (865) 524-4053
Practice Location
2607 KINGSTON PIKE
STE 185
KNOXVILLE TN, 37919-3333, US
Phone (865) 524-4697
Fax (865) 524-4053
Business Location
2607 KINGSTON PIKE
STE 185
KNOXVILLE TN, 37919-3333, US
Phone (865) 524-4697
Fax (865) 524-4053
Toxanomy
Taxonomy Code 122300000X
License State Tennessee
License Number DS2180
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According to our database, Walter D. Fain D.d.s. P.c. NPI is 1528192861, taxonomy code is 122300000X and license number is DS2180, license state is located at Tennessee. Walter D. Fain D.d.s. P.c. physically located at 2607 Kingston Pike, Knoxville TN, 37919-3333. NPI Number 1033115704 has the healthcare provider type.

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1528192861 NPI number is provided on an as is basis without warranty of any kind. 1528192861 is maintained by the National Plan & Provider Enumeration System. The contents of Walter D. Fain D.d.s. P.c. are for informational purposes only.