Organization
EAST TENNESSEE PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA PHILLIPS DMD (OWNER)
(865) 859-0355
Entity
Organization
Contact information
Practice address
1103 CALLAHAN DR, KNOXVILLE, TN 37912-1310
(865) 859-0355
(865) 859-0227
Mailing address
1103 CALLAHAN DR, KNOXVILLE, TN 37912-1310
(865) 859-0355
(865) 859-0227
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9446
TN
Other
Enumeration date
05/08/2013
Last updated
01/09/2017
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