Individual
DR. BENJAMIN REUEL BIRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
331 W MAIN ST, MORRISTOWN, TN 37814-4632
(423) 318-8399
(423) 318-8376
Mailing address
6714 SPRINGLAKE DR, KNOXVILLE, TN 37920-6731
(865) 577-5468
(423) 318-8376
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DS2308
TN
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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