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Individual

DR. PHILIP J BREEDING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
6908 OFFICE PARK CIR, KNOXVILLE, TN 37909-1161
(865) 584-3510
(865) 584-3811
Mailing address
6908 OFFICE PARK CIR, KNOXVILLE, TN 37909-1161
(865) 584-3510
(865) 584-3811

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4247
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
621762610
TAX ID#
TN
Enumeration date
07/09/2006
Last updated
04/11/2011
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