Organization
S. GRAYSON EDDY, D.D.S.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL GRAYSON EDDY JR. D.D.S. (PRESIDENT)
(865) 579-3000
Entity
Organization
Contact information
Practice address
3221 W GOVERNOR JOHN SEVIER HWY, KNOXVILLE, TN 37920-5540
(865) 579-3000
(865) 579-3056
Mailing address
3221 W GOVERNOR JOHN SEVIER HWY, KNOXVILLE, TN 37920-5540
(865) 579-3000
(865) 579-3056
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS 1916
TN
Other
Enumeration date
08/02/2006
Last updated
08/31/2007
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