Dr. Gibbs M. Prevost Jr., D.D.S.
Dentist in Knoxville, TN. Individual provider (NPI-1).
NPI number1700909009
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1700909009
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gibbs M. Prevost Jr.
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DS 003872 | TN | Yes |
Practice location
4714 Papermill DrKnoxville, TN 37909-1972
Phone 865-588-4472 · Fax 865-909-0188
Mailing address
4714 Papermill DrKnoxville, TN 37909-1972
Phone 865-588-4472 · Fax 865-909-0188
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