Organization
BEAVER CREEK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ROBERT SMITH DDS (DENTIST)
(865) 256-0661
Entity
Organization
Contact information
Practice address
7652 OAK RIDGE HWY, KNOXVILLE, TN 37931-3335
(865) 896-3065
Mailing address
7652 OAK RIDGE HWY, KNOXVILLE, TN 37931-3335
(865) 896-3065
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
10067
TN
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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