PEDIATRIC DENTISTRY PC NPI 1437557378

NPI Information

  • NPI: 1437557378
  • Provider Name: PEDIATRIC DENTISTRY PC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Doing Business As: PEDIATRIC DENTISTRY, P.C.
  • Address: 1516 COLEMAN RD
    SUITE 201
    KNOXVILLE, TN
    ZIP 37909
  • Phone: (865) 558-8857

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NPI Details

PEDIATRIC DENTISTRY PC 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. PEDIATRIC DENTISTRY PC NPI is 1437557378. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Pediatric Dentistry, P.c..

The provider's business location address is:

1516 COLEMAN RD
SUITE 201
KNOXVILLE, TN
ZIP 37909-809
Phone: (865) 558-8857
Fax: (865) 558-0291

The provider's authorized official is Michael James Koch .
The authorized official title is Business Manager and has the following contact phone number (865) 558-8857.

The enumeration date for this NPI number is 12/9/2014 and was last updated on 12/9/2014.

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
11223P0221XDentistPediatric Dentistry3722TENNESSEENo
21223P0221XDentistPediatric Dentistry9902TENNESSEEYes

What is NPI?

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

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