Smoky Mountain Pediatric Dentistry, Pllc

LBN: Smoky Mountain Pediatric Dentistry, Pllc
Smoky Mountain Pediatric Dentistry, Pllc is an health care organization with primary practice located at 550 Town Creek Rd E Suite 101, Lenoir City TN 37772-6289. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Smoky Mountain Pediatric Dentistry, Pllc can be contacted via phone (865) 766-4884, or through Malone, Katherine Bodford via phone (865) 766-4884.

Contact Information

Primary practice address
550 Town Creek Rd E Suite 101 Lenoir City TN 37772-6289
Phone: (865) 766-4884
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Malone, Katherine Bodford Doctor of Dental Surgery (DDS)
Phone: (865) 766-4884

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 9031 Tennessee

Profile Details

NPI number 1871916668
LBN Legal business name Smoky Mountain Pediatric Dentistry, Pllc
DBA Doing business as
Authorized official Malone, Katherine Bodford Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2014
Last updated Jun 7th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871916668 NPPES
Tennessee MEDICAID 1522864

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