Individual
KENT MELBOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2606 GREENWAY DR, SUITE 201, KNOXVILLE, TN 37918-1904
(865) 688-7699
(865) 688-7695
Mailing address
8305 KIVA DUNES LN, KNOXVILLE, TN 37938-4682
(865) 377-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS0000007390
TN
Other
Enumeration date
12/06/2005
Last updated
09/17/2010
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