# SMOKY MOUNTAIN PEDIATRIC DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1871916668
- **Authorized official:** KATHERINE BODFORD MALONE DDS (PEDIATRIC DENTIST)
- **Authorized official phone:** (865) 766-4884

## Contact information

- **Practice address:** 550 TOWN CREEK RD E, SUITE 101, LENOIR CITY, TN 37772-6289
- **Practice address phone:** (865) 766-4884
- **Mailing address:** 550 TOWN CREEK RD E, SUITE 101, LENOIR CITY, TN 37772-6289
- **Mailing address phone:** (865) 766-4884

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 9031 | TN | Yes |

## Other

- **Enumeration date:** 01/29/2014
- **Last updated:** 06/07/2014