Individual provider · Type 1 NPI
Evan James Agnetta, DDS, MS
Orthodontics and Dentofacial Orthopedics Dentistry · Knoxville, TN
Practice location
6311 Kingston Pike Ste 26W
Knoxville, TN 37919-4900
Mailing address
1205 Ives St
Watertown, NY 13601-4216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 0000011286 (TN) |
Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…
3 other providers at this address
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About NPI 1013523703
Evan James Agnetta, DDS, MS's National Provider Identifier is 1013523703, issued on Sep 18, 2020. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Knoxville, TN. The record was last updated on Sep 18, 2020.