Organization · Type 2 NPI

Tennessee Dental Professionals, PC

General Practice Dentistry · Oak Ridge, TN

NPI number 1174000780 Active

Practice location

349 S Illinois Ave Ste 300
Oak Ridge, TN 37830-6756

Call (217) 540-5100 Map

Mailing address

351 S Illinois Ave
Oak Ridge, TN 37830-6756

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1174000780
Entity type: Organization (Type 2)
Issued: Jul 26, 2018
Last updated: Oct 2, 2018
Status: Active
Subpart: Yes of Tennessee Dental Professionals, PC

Other names

<unavail>
Secret City Dental Care · doing business as
Secret City Dental Care · doing business as

Authorized official

Jessica Britt
Credentialing Coordinator
(217) 540-8426

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174000780

Tennessee Dental Professionals, PC's National Provider Identifier is 1174000780, issued on Jul 26, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oak Ridge, TN. The record was last updated on Oct 2, 2018.