| NPI | 1487941746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI NICOLE EVERSON Dentist 865-789-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 8426) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |