Knoxville Pediatric Dentistry, Pllc
LBN: Knoxville Pediatric Dentistry, Pllc
Knoxville Pediatric Dentistry, Pllc is an health care organization with primary practice located at 705 Gate Lane Suite 101, Knoxville TN 37909. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty.
Knoxville Pediatric Dentistry, Pllc can be contacted via phone (865) 522-5437, or through Townsend, Joseph Reed via phone (865) 522-5437.
Contact Information
Primary practice address
705 Gate Lane Suite 101
Knoxville TN 37909
Phone: (865) 522-5437
Fax: (865) 588-1862
Website:
Authorized official contact:
Name: Townsend, Joseph Reed Doctor of Dental Surgery (DDS)
Phone: (865) 522-5437
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2060 | Tennessee |
| Dental Providers / General Practice | 1223G0001X | 8900 | Tennessee |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 8203 | Tennessee |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 9607 | Tennessee |
Profile Details
| NPI number | 1447418736 |
|---|---|
| LBN Legal business name | Knoxville Pediatric Dentistry, Pllc |
| DBA Doing business as | Knoxville Pediatric Dentistry, Pllc |
| Authorized official | Townsend, Joseph Reed Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 23rd, 2008 |
| Last updated | Feb 6th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447418736 | NPPES |
| Tennessee | MEDICAID | 1506673 | |
| Tennessee | MEDICAID | 5440289 | |
| Tennessee | MEDICAID | 1531634 | |
| Tennessee | MEDICAID | 5440284 |
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