Organization
PICKERING & ALLEN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRI A. HANCOCK (OFFICE COORDINATOR)
(865) 687-9412
Entity
Organization
Contact information
Practice address
4741 N BROADWAY ST, KNOXVILLE, TN 37918-1793
(865) 687-9412
(865) 688-0656
Mailing address
4741 N BROADWAY ST STE C, KNOXVILLE, TN 37918-1793
(865) 687-9412
(865) 688-0656
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q006553
—
TN
05
—
Q037787
—
TN
Enumeration date
06/09/2020
Last updated
06/09/2020
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