Individual
CAROL ANN SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MPH
Contact information
Practice address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5110
(865) 215-5117
Mailing address
140 DAMERON AVE, KNOXVILLE, TN 37917-6413
(865) 215-5110
(865) 215-5117
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
255301
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3205464
—
TN
Enumeration date
02/01/2007
Last updated
09/28/2011
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