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Dr. Clint Ole Brodal, DMD
Pediatric Dentist in Maryville, Tennessee
NPI 1720235781

Clint Ole Brodal is a Pediatric Dentist based in Maryville, TN and is specialized in Pediatric Dentistry. Clint Ole Brodal practices in Maryville, TN and has the professional credentials of DMD. The NPI Number for Clint Ole Brodal is 1720235781 and holds a License No. D9259 (Tennessee).

The current practice location address for Clint Ole Brodal is 121 Parliament Dr, Maryville, TN and can be reached out via phone at 865-977-8700 and via fax at 865-977-5464.

Location: 121 Parliament Dr, Maryville, TN, 37804-6210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720235781
Provider Name
Clint Ole Brodal
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
121 Parliament Dr, Maryville, TN, 37804-6210
Phone Number
865-977-8700
Fax Number
865-977-5464
Provider Enumeration Date
08/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
121 Parliament Dr
City
Maryville
State
Tennessee
Zip
37804-6210
Phone Number
865-977-8700
Fax Number
865-977-5464
person
Provider Business Mailing Address Details
Address
121 Parliament Dr
City
Maryville
State
Tennessee
Zip
37804-6210
Phone Number
865-977-8700
Fax Number
865-977-5464
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
10289 (Tennessee)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
D9259 (Oregon)
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D9259 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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