Individual
KELLY DENISE OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7627 LONG SHOT LN, KNOXVILLE, TN 37918-8512
(865) 382-1347
Mailing address
7627 LONG SHOT LN, KNOXVILLE, TN 37918-8512
(865) 382-1347
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5653
TN
Other
Enumeration date
11/02/2024
Last updated
11/02/2024
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