Organization
KNOXVILLE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE HOESTEN (VICE PRESIDENT OF INTEGRATION)
(954) 675-3088
Entity
Organization
Contact information
Practice address
4947 MILLERTOWN PIKE, KNOXVILLE, TN 37917-2115
(865) 544-1711
Mailing address
3483 COASTLINE LN, VIERA, FL 32940-6587
(549) 675-3088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
05/29/2024
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