Organization
PARKER & PARKER DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE NORTHCUTT (OFFICE MANAGER)
(865) 919-2122
Entity
Organization
Contact information
Practice address
111 S WEISGARBER RD, KNOXVILLE, TN 37919-4928
(865) 584-3924
Mailing address
111 S WEISGARBER RD, KNOXVILLE, TN 37919-4928
(865) 584-3924
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
DS0000001422
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q001817
—
TN
Enumeration date
01/14/2014
Last updated
01/14/2014
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