Healthcare Provider Details

I. General information

NPI: 1629062716
Provider Name (Legal Business Name): DANNY ADKINS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 04/03/2014
Certification Date:
Deactivation Date: 03/24/2006
Reactivation Date: 04/13/2006

III. Provider practice location address

1301 OLD WEISGARBER RD
KNOXVILLE TN
37909-1284
US

IV. Provider business mailing address

1301 OLD WEISGARBER RD
KNOXVILLE TN
37909-1284
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-8539
  • Fax: 865-588-7836
Mailing address:
  • Phone: 865-588-8539
  • Fax: 865-588-7836

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number2244
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: