| NPI | 1578940367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JEFFREY PHILLIPS Owner/Dentist 865-483-7851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN DS4350) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |