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East Tennessee Pediatric Dentistry At Oak Ridgepllc.
Pediatric Dentist in Oak Ridge, Tennessee
NPI 1568952505

East Tennessee Pediatric Dentistry At Oak Ridgepllc. is a Pediatric Dentist based in Oak Ridge, TN and is specialized in Pediatric Dentistry. East Tennessee Pediatric Dentistry At Oak Ridgepllc. practices in Oak Ridge, TN. The NPI Number for East Tennessee Pediatric Dentistry At Oak Ridgepllc. is 1568952505 and holds a License No. 9446 (Tennessee).

The current practice location address for East Tennessee Pediatric Dentistry At Oak Ridgepllc. is 500 Oak Ridge Tpke, Oak Ridge, TN and can be reached out via phone at 865-859-0357 and via fax at 865-859-0247.

Location: 500 Oak Ridge Tpke, Oak Ridge, TN, 37830-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568952505
Provider Name
East Tennessee Pediatric Dentistry At Oak Ridgepllc.
Credential
Provider Entity Type
Organization
Address
500 Oak Ridge Tpke, Oak Ridge, TN, 37830-7109
Phone Number
865-859-0357
Fax Number
865-859-0247
Provider Enumeration Date
05/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 Oak Ridge Tpke
City
Oak Ridge
State
Tennessee
Zip
37830-7109
Phone Number
865-859-0357
Fax Number
865-859-0247
person
Provider Business Mailing Address Details
Address
500 Oak Ridge Tpke
City
Oak Ridge
State
Tennessee
Zip
37830-7109
Phone Number
865-859-0357
Fax Number
865-859-0247
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
9446 (Tennessee)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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