Rocky Top Pediatric Dentistry, Llc

LBN: Rocky Top Pediatric Dentistry, Llc
Rocky Top Pediatric Dentistry, Llc is an health care organization with primary practice located at 10261 Kingston Pike , Knoxville TN 37922-3276. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Rocky Top Pediatric Dentistry, Llc can be contacted via phone (865) 691-1404, or through Sellers, Leaynne via phone (865) 691-1404.

Contact Information

Primary practice address
10261 Kingston Pike Knoxville TN 37922-3276
Phone: (865) 691-1404
Fax: (865) 691-0836
Website:
Map and Directions
Authorized official contact:
Name: Sellers, Leaynne
Phone: (865) 691-1404

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 9858 Tennessee

Profile Details

NPI number 1851756423
LBN Legal business name Rocky Top Pediatric Dentistry, Llc
DBA Doing business as
Authorized official Sellers, Leaynne
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2015
Last updated Dec 23rd, 2015 - about 10 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 1851756423 NPPES
Tennessee MEDICAID Q006211

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