Organization
KNOXVILLE PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEANN GERRITY (OFFICE MANAGER)
(865) 522-5437
Entity
Organization
Contact information
Practice address
818 MIDDLE CREEK RD STE 1, SEVIERVILLE, TN 37862-5017
(865) 622-9144
(865) 622-5951
Mailing address
818 MIDDLE CREEK RD STE 1, SEVIERVILLE, TN 37862-5017
(865) 622-9144
(865) 622-5951
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
8203
TN
1223P0221X
Pediatric Dentistry
9607
TN
Other
Enumeration date
08/31/2015
Last updated
08/26/2021
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