| NPI | 1962924738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA MARIE HALL - FISHER President/ CEO 865-333-1611 |
| Organization Subpart ? | |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: TN DS0000004867) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2018-06-16 |