| NPI | 1528293164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E. ROGERS President 865-693-2331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: TN DS2188) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: TN DS8666) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |