| NPI | 1437423217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD EDENFIELD Dentist/Owner 865-686-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS0000008123) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN DS0000008822) |
| 1223G0001X Dentist, General Practice (Licence: TN DS0000009153) | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |