Tara Ericson
Tara Ericson is a General Practice Dentistry in Knoxville, Tennessee. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
6311 Kingston Pike Ste 27WKnoxville, TN 37919-4900
Phone: (865) 588-7862
Fax: (865) 558-6849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1780159368 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tammie Moyers — Insurance Coordinator · (865) 588-7862 |
| NPI enumerated | October 10, 2018 |
| Last updated in NPPES | October 10, 2018 |
| Mailing address | 6311 Kingston Pike Ste 27w, Knoxville, TN 37919-4900 |
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