Organization
DIVISION DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRI NICOLE EVERSON D.D.S. (DENTIST)
(865) 789-4672
Entity
Organization
Contact information
Practice address
138 E DIVISION RD, OAK RIDGE, TN 37830-6906
(865) 272-3661
(865) 272-3663
Mailing address
138 E DIVISION RD, OAK RIDGE, TN 37830-6906
(865) 272-3661
(865) 272-3663
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8426
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440305
—
TN
Enumeration date
07/06/2011
Last updated
07/06/2011
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