Individual
MARK TIMOTHY BIAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5315 FOUNTAIN ROAD, SUITE A, KNOXVILLE, TN 37918
(865) 687-6763
(865) 688-8503
Mailing address
5315 FOUNTAIN ROAD, SUITE A, KNOXVILLE, TN 37918
(865) 687-6763
(865) 688-8503
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS5531
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4116843
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/09/2007
Last updated
07/08/2007
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