Waddell, Reggie M.

Waddell, Reggie M. is an individual health care provider with primary practice located at 3629 Neal Dr , Knoxville TN 37918-5312. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Waddell, Reggie M. can be contacted via phone (865) 922-7471.

Contact Information

Primary practice address
3629 Neal Dr Knoxville TN 37918-5312
Phone: (865) 922-7471
Fax: (865) 925-4829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS 3136 Tennessee

Profile Details

NPI number 1871551861
LBN Legal business name Waddell, Reggie M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871551861 NPPES
Tennessee Other 47674 DHA
Tennessee Other 0000136 DHA
Tennessee Other 2000187 DHA
Tennessee Other 104396 DHA

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