| NPI | 1215944988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL GRAYSON EDDY President 865-579-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS 1916) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2007-08-31 |