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44D0681146 CLIA NUMBER - FOUNTAIN CITY FAMILY PHYSICIANS

Laboratory Demographics

CLIA Number: 44D0681146

Facility Name: FOUNTAIN CITY FAMILY PHYSICIANS

Facility Address:
103 MIDLAKE DRIVE
KNOXVILLE, TN
ZIP 37918
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Facility Phone Number: 865 687-1973

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1265569982

Taxonomy: 122300000X - Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

CLIA Record

Field Name Field Value
CLIA Number 44D0681146
LAB Type Physician Office
Facility Name FOUNTAIN CITY FAMILY PHYSICIANS
Street 103 MIDLAKE DRIVE
City KNOXVILLE
State TN
ZIP 37918
Phone 865 687-1973
CertificateType 3
CertificateEffectiveDate 7/15/2022
CertificateExpirationDate 7/14/2024
FacilityType PPMP

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This page was last updated on: 4/23/2024