Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Nicholas John Ledderhof, BSCH, DDS, MSC, FRCD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821586793

Dr. Nicholas John Ledderhof, BSCH, DDS, MSC, FRCD is a Student in an Organized Health Care Education/Training Program in Knoxville, Tennessee. Licensed in ZZ. Registered with an NPI since 2018.

Licensed in
ZZ
In the registry since
2018
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1930 Alcoa Hwy Medical Bldg A Ste 335
Knoxville, TN 37920-1514
Phone: (865) 305-9022
Fax: (865) 305-9026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 88428 (ZZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1821586793
Entity typeIndividual (Type 1)
GenderMale
Credentials BSCH , DDS , MSC , FRCD
Sole proprietorNo
NPI enumeratedApril 26, 2018
Last updated in NPPESNovember 21, 2018

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