Organization
DICKENSON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT M DICKENSON DDS (DENTIST)
(865) 314-3859
Entity
Organization
Contact information
Practice address
2620 MINERAL SPRINGS AVE, KNOXVILLE, TN 37917-1569
(865) 688-4442
Mailing address
10323 EVENING RIDGE LN, KNOXVILLE, TN 37922-7244
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9681
TN
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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