Organization
CREEKSIDE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT T MELBOURNE DDS, MBA (CEO)
(865) 688-7695
Entity
Organization
Contact information
Practice address
2606 GREENWAY DR, SUITE 201, KNOXVILLE, TN 37918-1904
(865) 688-7699
(865) 688-7695
Mailing address
2606 GREENWAY DR, SUITE 201, KNOXVILLE, TN 37918-1904
(865) 688-7699
(865) 688-7695
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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