Individual
SCOTT L ADKISSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 HIGHWAY 321 N, LENOIR CITY, TN 37771-6575
(865) 986-6566
Mailing address
603 HIGHWAY 321 N, LENOIR CITY, TN 37771-5012
(865) 986-6566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS7867
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4024874
BLUE CROSS BLUE SHIELD
TN
01
—
748082
UNITED CONCORDIA
TN
Enumeration date
11/02/2005
Last updated
07/08/2007
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