Individual
JACOB SHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2964 MILLER PLACE WAY, KNOXVILLE, TN 37924-1673
(865) 770-4477
Mailing address
8124 CAMBRIDGE RESERVE DR, KNOXVILLE, TN 37924-5515
(702) 271-5506
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11032
TN
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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