Organization
J BENJAMIN RIVERS DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BENJAMIN RIVERS SR. DMD (PRESIDENT)
(865) 588-3850
Entity
Organization
Contact information
Practice address
6906 KINGSTON PIKE, SUITE 205, KNOXVILLE, TN 37919-5704
(865) 588-3850
(865) 588-3840
Mailing address
6906 KINGSTON PIKE, SUITE 205, KNOXVILLE, TN 37919-5704
(865) 588-3850
(865) 588-3840
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
2075
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3215768
—
TN
Enumeration date
11/30/2005
Last updated
02/01/2008
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