Organization
TENNESSEE DENTAL PROFESSIONALS, PC
Active
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PC
Other names
Dental Care of Powell
Organization subpart
Yes
Provider details
NPI number
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Authorized official
KENDRA WALKER (CREDENTIALING TEAM LEAD)
(217) 540-8312
Entity
Organization
Contact information
Practice address
574 E EMORY RD, POWELL, TN 37849-3519
(865) 444-7266
(865) 859-9947
Mailing address
574 E EMORY RD, POWELL, TN 37849-3519
(865) 859-9553
(865) 859-9947
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
10/13/2016
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