| NPI | 1801116272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WESLEY SPEARS Dentist 865-982-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 4735) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: LA 8734) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |