# ASSOCIATED DENTAL PROFESSIONALS WEST

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

## Provider details

- **NPI number:** 1457591190
- **Authorized official:** DR. MARK T BARKER D.M.D. (PRESIDENT)
- **Authorized official phone:** (865) 691-2330

## Contact information

- **Practice address:** 8874 KINGSTON PIKE, SUITE 102, KNOXVILLE, TN 37923-5013
- **Practice address phone:** (865) 691-2330
- **Practice address fax:** (865) 691-2344
- **Mailing address:** 8874 KINGSTON PIKE, SUITE 102, ASSOCIATED DENTAL PROFESSIONALS WEST, KNOXVILLE, TN 37923-5013
- **Mailing address phone:** (865) 691-2330
- **Mailing address fax:** (865) 691-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS 3638 | TN | Yes |
| 1223G0001X | General Practice Dentistry | DS 5278 | TN | — |

## Other

- **Enumeration date:** 02/20/2009
- **Last updated:** 02/20/2009