Organization
JEFFREY J. EBERTING DMD, M.S. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY JENNINGS EBERTING DMD MS (OWNER)
(865) 983-3570
Entity
Organization
Contact information
Practice address
619 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 983-3570
(865) 983-9547
Mailing address
619 SMITHVIEW DR, MARYVILLE, TN 37803-6100
(865) 983-3570
(865) 983-9547
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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