# LINCOLN MEMORIAL UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LMU Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992985865
- **Authorized official:** SABRINA LAYEL (ASSISTANT VICE PRESIDENT, FINANCE)
- **Authorized official phone:** (423) 869-6229

## Contact information

- **Practice address:** 1705 ST. MARY STREET, KNOXVILLE, TN 37917
- **Practice address phone:** (865) 338-5755
- **Mailing address:** 6965 CUMBERLAND GAP PKWY, HARROGATE, TN 37752-8231
- **Mailing address phone:** (423) 869-6229
- **Mailing address fax:** (423) 869-6229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |

## Other

- **Enumeration date:** 11/08/2007
- **Last updated:** 04/26/2022