Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | 9858 | TN |
NPI | 1033135546 |
---|---|
Provider Name | Dr. Jeffery B Arrowood |
First Address | Knoxville, TN 37922-3276 |
Second Address | Knoxville, TN 37922-3276 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 30/11/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Q019188 | (05) | TN |