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Adult And Family Dentistry

Dentist, General Practice in Knoxville, TN. Organization (NPI-2).

NPI number1376976449
StatusActive
Last updated in NPPESAug 13, 2013

Details

NPI
1376976449
Entity type
Organization (NPI-2)
Legal business name
Adult And Family Dentistry
Organization subpart
No
Enumeration date
Aug 13, 2013
Last updated
Aug 13, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Adult Adn Family Dentistry Of Fountain City (Other Name)

Practice location

5303 Jacksboro Pike
Knoxville, TN 37918-3328

Phone 865-687-8670

Mailing address

5303 Jacksboro Pike
Knoxville, TN 37918-3328

Phone 865-687-8670

Authorized official

Randall Ford
President
8655914829

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Knoxville, TN

All 194 General Practice Dentistry providers in Knoxville · All 17,212 providers in Knoxville

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