# DIVISION DENTAL P.C.

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

## Provider details

- **NPI number:** 1487941746
- **Authorized official:** DR. KERRI NICOLE EVERSON D.D.S. (DENTIST)
- **Authorized official phone:** (865) 789-4672

## Contact information

- **Practice address:** 138 E DIVISION RD, OAK RIDGE, TN 37830-6906
- **Practice address phone:** (865) 272-3661
- **Practice address fax:** (865) 272-3663
- **Mailing address:** 138 E DIVISION RD, OAK RIDGE, TN 37830-6906
- **Mailing address phone:** (865) 272-3661
- **Mailing address fax:** (865) 272-3663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8426 | TN | Yes |

## Other

- **Enumeration date:** 07/06/2011
- **Last updated:** 07/06/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5440305 | — | TN |