Diddle, John A

Diddle, John A is an sole proprietor health care provider with primary practice located at 9220 Dutchtown Road Suite 101, Knoxville TN 37923-4925. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Diddle, John A can be contacted via phone (865) 693-6561.

Contact Information

Primary practice address
9220 Dutchtown Road Suite 101 Knoxville TN 37923-4925
Fax: (865) 693-0522
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DS 2753 Tennessee

Profile Details

NPI number 1558385872
LBN Legal business name Diddle, John A
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Jan 13th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558385872 NPPES
Tennessee Other 621063528 TAX ID

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