# ABC FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1790920650
- **Authorized official:** AARON C KNOP DMD (OWNER)
- **Authorized official phone:** (423) 639-2176

## Contact information

- **Practice address:** 1018 TUSCULUM BLVD, GREENEVILLE, TN 37745-4037
- **Practice address phone:** (423) 639-2176
- **Practice address fax:** (423) 639-2177
- **Mailing address:** 1018 TUSCULUM BLVD, GREENEVILLE, TN 37745-4037
- **Mailing address phone:** (423) 639-2176
- **Mailing address fax:** (423) 639-2177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | 8843 | TN | — |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 12/07/2008
- **Last updated:** 11/09/2022
