Organization
PEDIATRIC DENTISTRY PC
Active
Other names
Pediatric Dentistry, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES KOCH DC (BUSINESS MANAGER)
(865) 558-8857
Entity
Organization
Contact information
Practice address
1516 COLEMAN RD, SUITE 201, KNOXVILLE, TN 37909-3809
(865) 558-8857
(865) 558-0291
Mailing address
1516 COLEMAN RD, SUITE 201, KNOXVILLE, TN 37909-3809
(865) 558-8857
(865) 558-0291
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
3722
TN
1223P0221X
Pediatric Dentistry
Primary
9902
TN
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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