Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cda - Fort Sanders West

Organization General Practice Dentistry · NPI 1104690924

Cda - Fort Sanders West is a General Practice Dentistry in Knoxville, Tennessee. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

280 Fort Sanders West Blvd Ste 117
Knoxville, TN 37922-3352
Phone: (865) 539-6030
Fax: (865) 539-6768
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104690924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Prince — Insurance Coordinator · (865) 539-6030
NPI enumeratedNovember 13, 2023
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address280 Fort Sanders West Blvd Ste 117, Knoxville, TN 37922-3352

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