Advanced Dental Concepts Pc

LBN: Advanced Dental Concepts Pc
Advanced Dental Concepts Pc is an health care organization with primary practice located at 6311 Kingston Pike Suite 8-W, Knoxville TN 37919-4906. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Advanced Dental Concepts Pc can be contacted via phone (865) 584-7336, or through Dixon, Fredrico Albert via phone (865) 584-7336.

Contact Information

Primary practice address
6311 Kingston Pike Suite 8-W Knoxville TN 37919-4906
Fax: (865) 584-6208
Website:
Authorized official contact:
Name: Dixon, Fredrico Albert Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS7270 Tennessee

Profile Details

NPI number 1417033804
LBN Legal business name Advanced Dental Concepts Pc
DBA Doing business as
Authorized official Dixon, Fredrico Albert Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 13th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417033804 NPPES
Tennessee MEDICAID 1525931
Tennessee Other 110001
Tennessee Other 1508041526

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