Healthcare Provider Details

I. General information

NPI: 1033135546
Provider Name (Legal Business Name): JEFFERY B ARROWOOD DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10261 KINGSTON PIKE
KNOXVILLE TN
37922-3276
US

IV. Provider business mailing address

10261 KINGSTON PIKE
KNOXVILLE TN
37922-3276
US

V. Phone/Fax

Practice location:
  • Phone: 865-691-1404
  • Fax: 865-691-0836
Mailing address:
  • Phone: 865-691-1404
  • Fax: 865-691-0836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number9858
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: