Dandridge Pediatric Dentistry

LBN: Dandridge Pediatric Dentistry
Dandridge Pediatric Dentistry is an health care organization with primary practice located at 117 E Price Rd , Dandridge TN 37725-4513. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Dandridge Pediatric Dentistry can be contacted via phone (865) 940-1280, or through Childers, Victoria P via phone (865) 940-1280.

Contact Information

Primary practice address
117 E Price Rd Dandridge TN 37725-4513
Phone: (865) 940-1280
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Childers, Victoria P Doctor of Medicine (MD)
Phone: (865) 940-1280

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1144844879
LBN Legal business name Dandridge Pediatric Dentistry
DBA Doing business as
Authorized official Childers, Victoria P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2020
Last updated May 28th, 2020 - about 5 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 1144844879 NPPES
Tennessee MEDICAID Q055235

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