Search › Tennessee › 1223P0221X
Clint Brodal, DMD
NPI 1720235781 · on the registry since 2008
Practice
- Address
- 121 Parliament Dr
Maryville, TN 37804 - Phone
- (865) 977-8700
- Fax
- (865) 977-5464
- Organisation at this address
- Foothills Pediatric Dentristry, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 1223P0221X
1223P0221X
- Also registered as
- 122300000X
390200000X - Licence states on file
- OR, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-08
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