Individual
DR. JAMES THOMAS PICKERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4741 N BROADWAY ST, KNOXVILLE, TN 37918-1793
(865) 687-9412
(865) 688-0656
Mailing address
4741 N BROADWAY ST, KNOXVILLE, TN 37918-1793
(865) 687-9412
(865) 688-0656
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS005271
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3025414
BLUE CROSS BLUE SHIELD
TN
01
—
972279
UNITED CONCORDIA
TN
Enumeration date
04/18/2007
Last updated
07/08/2007
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