Individual provider · Type 1 NPI

Evan James Agnetta, DDS, MS

Orthodontics and Dentofacial Orthopedics Dentistry · Knoxville, TN

NPI number 1013523703 Active

Practice location

6311 Kingston Pike Ste 26W
Knoxville, TN 37919-4900

Mailing address

1205 Ives St
Watertown, NY 13601-4216

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X0000011286 (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…

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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.