Healthcare Provider Details

I. General information

NPI: 1023831732
Provider Name (Legal Business Name): CATHERINE JONES ROWELL RHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/02/2024
Last Update Date: 11/02/2024
Certification Date: 11/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2040 CASTAIC LN
KNOXVILLE TN
37932-1557
US

IV. Provider business mailing address

237 WELLS FARGO DR
KNOXVILLE TN
37934-4433
US

V. Phone/Fax

Practice location:
  • Phone: 865-246-0460
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number4542
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: