Organization
EAST TENNESSEE PEDIATRIC DENTISTRY AT OAK RIDGEPLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA PHILLIPS DMD (OWNER)
(865) 859-0355
Entity
Organization
Contact information
Practice address
500 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7109
(865) 859-0357
(865) 859-0247
Mailing address
500 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7109
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9446
TN
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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