Individual
TROY A TRONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
1505 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5131
(865) 983-8630
(865) 981-4914
Mailing address
1505 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5131
(865) 983-8630
(865) 981-4914
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8787
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1504119
—
TN
01
—
8787
LICENSE
TN
Enumeration date
05/23/2007
Last updated
08/10/2012
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