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Organization

LINCOLN MEMORIAL UNIVERSITY

Active
Parent organization
LINCOLN MEMORIAL UNIVERSITY
Other names
LMU Dental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
LINCOLN MEMORIAL UNIVERSITY
Authorized official
SABRINA LAYEL (ASSISTANT VICE PRESIDENT FINANCE)
(423) 869-6229
Entity
Organization

Contact information

Practice address
1705 ST. MARY STREET, KNOXVILLE, TN 37917
(865) 370-2128
Mailing address
6965 CUMBERLAND GAP PARKWAY, FINANCE OFFICE, HARROGATE, TN 37752-8245
(423) 869-6229
(423) 869-6229

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
Primary
1223P0221X
Pediatric Dentistry
1223P0300X
Periodontics
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
1223X0008X
Oral and Maxillofacial Radiology Dentistry
124Q00000X
Dental Hygienist
261QD0000X
Dental Clinic/Center

Other

Enumeration date
06/01/2022
Last updated
05/03/2023
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