Organization
KNOXVILLE PEDIATRIC DENTISTRY, PLLC
Active
Other names
Knoxville Pediatric Dentistry, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH REED TOWNSEND D.D.S. (DENTIST/OWNER)
(865) 522-5437
Entity
Organization
Contact information
Practice address
705 GATE LANE, SUITE 101, KNOXVILLE, TN 37909
(865) 522-5437
(865) 588-1862
Mailing address
705 GATE LANE, SUITE 101, KNOXVILLE, TN 37909
(865) 522-5437
(865) 588-1862
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2060
TN
1223G0001X
General Practice Dentistry
8900
TN
1223P0221X
Pediatric Dentistry
8203
TN
1223P0221X
Pediatric Dentistry
9607
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1506673
—
TN
05
—
1531634
—
TN
05
—
5440284
—
TN
05
—
5440289
—
TN
Enumeration date
05/23/2008
Last updated
02/06/2015
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