Individual
DR. WILLIAM ANDREW MALLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
11201 W POINT DR STE 100, KNOXVILLE, TN 37934-2833
(865) 309-4020
Mailing address
6821 HAVERHILL DR, KNOXVILLE, TN 37909-2612
(731) 445-4007
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4003
AR
1223P0221X
Pediatric Dentistry
Primary
10487
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q028954
—
TN
Enumeration date
07/17/2014
Last updated
06/05/2024
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