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Individual

DR. CALEB BLACKBURN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MD

Contact information

Practice address
1930 ALCOA HWY STE 335, KNOXVILLE, TN 37920-1585
(865) 305-9000
Mailing address
1930 ALCOA HWY STE 335, KNOXVILLE, TN 37920-1585
(865) 305-9022

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11013
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
202500269
NC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
73026
TN

Other

Enumeration date
04/03/2018
Last updated
04/13/2026
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