Diddle, John A
Diddle, John A is an sole proprietor health care provider with primary practice located at 9220 Dutchtown Road Suite 101, Knoxville TN 37923-4925. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Diddle, John A can be contacted via phone (865) 693-6561.Contact Information
Primary practice address
9220 Dutchtown Road Suite 101
Knoxville TN 37923-4925
Phone: (865) 693-6561
Fax: (865) 693-0522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DS 2753 | Tennessee |
Profile Details
| NPI number | 1558385872 |
|---|---|
| LBN Legal business name | Diddle, John A |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jan 13th, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558385872 | NPPES |
| Tennessee | Other | 621063528 | TAX ID |
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