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Organization
LINCOLN MEMORIAL UNIVERSITY
Active
Organization
LINCOLN MEMORIAL UNIVERSITY
Active
Other names
LMU Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SABRINA LAYEL (ASSISTANT VICE PRESIDENT, FINANCE)
(423) 869-6229
Entity
Organization
Contact information
Practice address
1705 ST. MARY STREET, KNOXVILLE, TN 37917
(865) 338-5755
Mailing address
6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8231
(423) 869-6229
(423) 869-6229
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
NULL
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
NULL
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
NULL
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
NULL
1223X0008X
Oral and Maxillofacial Radiology Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/08/2007
Last updated
04/26/2022
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