Organization
ADULT AND FAMILY DENTISTRY
Active
Other names
Adult adn Family Dentistry of Fountain City
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL FORD JR. DDS (PRESIDENT)
(865) 591-4829
Entity
Organization
Contact information
Practice address
5303 JACKSBORO PIKE, KNOXVILLE, TN 37918-3328
(865) 687-8670
Mailing address
5303 JACKSBORO PIKE, KNOXVILLE, TN 37918-3328
(865) 687-8670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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