| Agnetta Orthodontics Pllc | |
|
6311 Kingston Pike Ste 26w Knoxville TN 37919-4900 | |
| (208) 761-1210 | |
| Not Available |
| Full Name | Agnetta Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6311 Kingston Pike Ste 26w, Knoxville, Tennessee |
| Authorized Official Name and Position | Evan James Agnetta (OWNER/MANAGER) |
| Authorized Official Contact | 2087611210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agnetta Orthodontics Pllc 1205 Ives St Watertown NY 13601-4216 Ph: (208) 761-1210 | Agnetta Orthodontics Pllc 6311 Kingston Pike Ste 26w Knoxville TN 37919-4900 Ph: (208) 761-1210 |
| NPI Number | 1740888023 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740888023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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