Organization
PEDIATRIC DENTAL PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ELIZABETH JOHNSON FANCHER DDS, MS (DENTIST/OWNER)
(865) 229-4969
Entity
Organization
Contact information
Practice address
10238 HARDIN VALLEY RD, KNOXVILLE, TN 37932-1609
(865) 229-4969
Mailing address
4153 FOREST GLEN DR, KNOXVILLE, TN 37919-5214
(615) 374-8951
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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