Organization
BLUE DOG FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISTEN SMITH DDS (OWNER)
(616) 885-2345
Entity
Organization
Contact information
Practice address
10825 HARDIN VALLEY RD, KNOXVILLE, TN 37932-1410
(865) 338-3098
(865) 338-3104
Mailing address
10825 HARDIN VALLEY RD, KNOXVILLE, TN 37932-1410
(865) 338-3098
(865) 338-3104
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871143826
UNKNOWN
TN
Enumeration date
07/02/2025
Last updated
07/02/2025
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