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Search › Tennessee › 122300000X

Tara Ericson, DDS

NPI 1598921827 · on the registry since 2008

Practice

Address
1212 North Kentucky St
Kingston, TN 37763
Phone
(865) 717-3586
Organisation at this address
Kdp Pllc
Kingston Dental Llc
Nwaloshin Dental Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
CA, TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee