Adult and Family Dentistry

Organization Active NPI General Practice Dentistry · Knoxville, TN

NPI 1376976449 · NPPES record last updated Aug 13, 2013

Key facts

NPI
1376976449
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ADULT AND FAMILY DENTISTRY
Practice address
5303 Jacksboro Pike
Knoxville, TN 37918-3328
Phone
(865) 687-8670
NPI assigned
Aug 13, 2013
Organization subpart
No

Authorized official

Name
Dr. Randall Ford Jr., DDS
Title
President
Phone
(865) 591-4829

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Adult Adn Family Dentistry of Fountain City (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

5303 Jacksboro Pike
Knoxville, TN 37918-3328

Mailing address

5303 Jacksboro Pike
Knoxville, TN 37918-3328
Phone (865) 687-8670

Other names

  • Adult adn Family Dentistry of Fountain City Other name

Other providers in Knoxville, TN

All providers in Knoxville, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.