BEARDEN PEDIATRIC DENTISTRY PLLC NPI 1083975536

NPI Information

  • NPI: 1083975536
  • Provider Name: BEARDEN PEDIATRIC DENTISTRY PLLC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 601 CONCORD ST
    SUITE 102-104
    KNOXVILLE, TN
    ZIP 37919
  • Phone: (865) 851-9347

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NPI Details

BEARDEN PEDIATRIC DENTISTRY PLLC is a pediatric dentistry dentist in Knoxville, TN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. BEARDEN PEDIATRIC DENTISTRY PLLC NPI is 1083975536. The provider is registered as an organization entity type.

The provider's business location address is:

601 CONCORD ST
SUITE 102-104
KNOXVILLE, TN
ZIP 37919-307
Phone: (865) 851-9347
Fax: (865) 851-7849

The provider's authorized official is Elizabeth Ann Evans .
The authorized official title is Dds and has the following contact phone number (865) 851-9347.

The enumeration date for this NPI number is 5/31/2012 and was last updated on 8/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1284300000XSpecial HospitalDS8702TENNESSEENo
21223P0221XDentistPediatric DentistryDS8702TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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