Vazquez, Roger Abraham

Vazquez, Roger Abraham is an individual health care provider with primary practice located at 816 E Oldham Ave , Knoxville TN 37917-5567. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vazquez, Roger Abraham can be contacted via phone (865) 523-1072.

Contact Information

Primary practice address
816 E Oldham Ave Knoxville TN 37917-5567
Phone: (865) 523-1072
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2603 Tennessee

Profile Details

NPI number 1295724979
LBN Legal business name Vazquez, Roger Abraham
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jul 8th, 2007 - about 18 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 1295724979 NPPES
Tennessee Other 60236 BCBS
Tennessee MEDICAID 3217050004873 BCBS

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