# TRI-CITIES DENTAL SERVICES LLC

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

## Provider details

- **NPI number:** 1699589994
- **Authorized official:** MAXWELL JANI (SR. DIRECTOR OF EFFICIENCY SERVICES)
- **Authorized official phone:** (678) 761-5947

## Contact information

- **Practice address:** 800 S GAY ST STE P325, KNOXVILLE, TN 37929-9749
- **Practice address phone:** (678) 761-5947
- **Mailing address:** 800 S GAY ST STE P325, KNOXVILLE, TN 37929-9749
- **Mailing address phone:** (678) 761-5947

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2025
- **Last updated:** 02/05/2025