# BIRDWELL AND GUFFEY FAMILY DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043027477
- **Authorized official:** SUSAN E BLAYLOCK (INSURANCE COORDINATOR)
- **Authorized official phone:** (865) 573-9629

## Contact information

- **Practice address:** 529 GOVERNOR JOHN SEVIER HWY, KNOXVILLE, TN 37920-6753
- **Practice address phone:** (865) 573-9629
- **Practice address fax:** (865) 577-3966
- **Mailing address:** 529 GOVERNOR JOHN SEVIER HWY, KNOXVILLE, TN 37920-6753
- **Mailing address phone:** (865) 573-9629
- **Mailing address fax:** (865) 577-3966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2024
- **Last updated:** 12/18/2024
