Organization
TENNESSEE VALLEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA LYNN EADES DMD (OWNER/DENTIST)
(865) 671-1255
Entity
Organization
Contact information
Practice address
10641 DEERBROOK DR, KNOXVILLE, TN 37922-1978
(865) 671-1255
Mailing address
10641 DEERBROOK DR, KNOXVILLE, TN 37922-1978
(865) 671-1255
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8200
TN
Other
Enumeration date
12/11/2009
Last updated
10/27/2011
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