Organization
BEARDEN PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH ANN EVANS (DDS)
(865) 851-9347
Entity
Organization
Contact information
Practice address
601 CONCORD ST, SUITE 102-104, KNOXVILLE, TN 37919-3307
(865) 851-9347
(865) 851-7849
Mailing address
601 CONCORD ST, SUITE 102-104, KNOXVILLE, TN 37919-3307
(865) 851-9347
(865) 851-7849
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS8702
TN
284300000X
Special Hospital
DS8702
TN
Other
Enumeration date
05/31/2012
Last updated
08/23/2012
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