Individual
DR. GIBBS M. PREVOST JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4714 PAPERMILL DR, KNOXVILLE, TN 37909-1972
(865) 588-4472
(865) 909-0188
Mailing address
4714 PAPERMILL DR, KNOXVILLE, TN 37909-1972
(865) 588-4472
(865) 909-0188
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS 003872
TN
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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