Organization
TARA ERICSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMIE MOYERS (INSURANCE COORDINATOR)
(865) 588-7862
Entity
Organization
Contact information
Practice address
6311 KINGSTON PIKE STE 27W, KNOXVILLE, TN 37919-4900
(865) 588-7862
(865) 558-6849
Mailing address
6311 KINGSTON PIKE STE 27W, KNOXVILLE, TN 37919-4900
(865) 588-7862
(865) 558-6849
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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