# ADVANCED DENTAL CONCEPTS PC

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

## Provider details

- **NPI number:** 1417033804
- **Authorized official:** DR. FREDRICO ALBERT DIXON III DDS (PRESIDENT)
- **Authorized official phone:** (865) 584-7336

## Contact information

- **Practice address:** 6311 KINGSTON PIKE, SUITE 8-W, KNOXVILLE, TN 37919-4906
- **Practice address phone:** (865) 584-7336
- **Practice address fax:** (865) 584-6208
- **Mailing address:** 6311 KINGSTON PIKE, SUITE 8-W, KNOXVILLE, TN 37919-4906
- **Mailing address phone:** (865) 584-7336
- **Mailing address fax:** (865) 584-6208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS7270 | TN | Yes |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 12/13/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 110001 | TN CARE LOCATION | TN |
| 01 | — | 1508041526 | HYGENIST NPI \# | TN |
| 05 | — | 1525931 | — | TN |