Individual
DR. JOHN A DIDDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
9220 DUTCHTOWN ROAD, SUITE 101, KNOXVILLE, TN 37923-4925
(865) 693-6561
(865) 693-0522
Mailing address
9220 DUTCHTOWN RD, SUITE 101, KNOXVILLE, TN 37923-2745
(865) 693-6561
(865) 693-0522
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS 2753
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621063528
TAX ID
TN
Enumeration date
07/27/2006
Last updated
01/13/2012
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