Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Dental Care on Parkside
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
11125 PARKSIDE DR, KNOXVILLE, TN 37934-1961
(865) 233-6780
(865) 233-6214
Mailing address
11125 PARKSIDE DR, KNOXVILLE, TN 37934-1961
(865) 233-6780
(865) 233-6214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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