Organization
EAST TENNESSEE PERIODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CRAIG CAIN DDS (OWNER)
(865) 246-0460
Entity
Organization
Contact information
Practice address
2040 CASTAIC LN, KNOXVILLE, TN 37932-1557
(865) 246-0460
(865) 482-0592
Mailing address
2040 CASTAIC LN, KNOXVILLE, TN 37932-1557
(865) 246-0460
(865) 482-0592
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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