Individual
THOMAS C WHITTAKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
939 E EMERALD AVE, STE 501, KNOXVILLE, TN 37917
(865) 522-6885
(865) 522-0026
Mailing address
939 E EMERALD AVE, STE 501, KNOXVILLE, TN 37917
(865) 522-6885
(865) 522-0026
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
DS02991
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3223817
—
TN
Enumeration date
01/10/2006
Last updated
07/08/2007
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