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Contact Information

ADVANCED DENTAL CONCEPTS PC
6311 KINGSTON PIKE
SUITE 8-W
KNOXVILLE, TN37919-4906
 Phone: 865-584-7336
 Fax: 865-584-6208
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL CONCEPTS PC

NPI # 1417033804
LBN Legal business name ADVANCED DENTAL CONCEPTS PC
Authorized official FREDRICO DIXON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2006
Last updated 12/13/2011 - About 14 years ago
Identifiers
TN License # DS7270
TN Medicaid 1525931
TN Other 1508041526 HYGENIST NPI #
TN Other 110001 TN CARE LOCATION
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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