# KNOXVILLE PEDIATRIC DENTISTRY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Knoxville Pediatric Dentistry, PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447418736
- **Authorized official:** DR. JOSEPH REED TOWNSEND D.D.S. (DENTIST/OWNER)
- **Authorized official phone:** (865) 522-5437

## Contact information

- **Practice address:** 705 GATE LANE, SUITE 101, KNOXVILLE, TN 37909
- **Practice address phone:** (865) 522-5437
- **Practice address fax:** (865) 588-1862
- **Mailing address:** 705 GATE LANE, SUITE 101, KNOXVILLE, TN 37909
- **Mailing address phone:** (865) 522-5437
- **Mailing address fax:** (865) 588-1862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2060 | TN | Yes |
| 1223G0001X | General Practice Dentistry | 8900 | TN | — |
| 1223P0221X | Pediatric Dentistry | 8203 | TN | — |
| 1223P0221X | Pediatric Dentistry | 9607 | TN | — |

## Other

- **Enumeration date:** 05/23/2008
- **Last updated:** 02/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1506673 | — | TN |
| 05 | — | 1531634 | — | TN |
| 05 | — | 5440284 | — | TN |
| 05 | — | 5440289 | — | TN |
