Individual
JAMES BENJAMIN RIVERS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6906 KINGSTON PIKE, SUITE 205, KNOXVILLE, TN 37919
(865) 588-3850
(865) 588-3840
Mailing address
6906 KINGSTON PIKE, SUITE 205, KNOXVILLE, TN 37919
(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
04/16/2008
Last updated
04/16/2008
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