Blue Dog Family Dentistry
Clinic/Center, Dental in Knoxville, TN. Organization (NPI-2).
NPI number1023907151
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1023907151
- Entity type
- Organization (NPI-2)
- Legal business name
- Blue Dog Family Dentistry
- Organization subpart
- No
- Enumeration date
- Jul 2, 2025
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
10825 Hardin Valley RdKnoxville, TN 37932-1410
Phone 865-338-3098 · Fax 865-338-3104
Mailing address
10825 Hardin Valley RdKnoxville, TN 37932-1410
Phone 865-338-3098 · Fax 865-338-3104
Authorized official
Tristen Smith
Owner
6168852345
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