| NPI | 1083975536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN EVANS Dds 865-851-9347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TN DS8702) |
| Additional Taxonomies | 284300000X Special Hospital (Licence: TN DS8702) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-08-23 |