Healthcare Provider Details

I. General information

NPI: 1669393765
Provider Name (Legal Business Name): STEVE KOPLOW DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 FOX MEADOWS BLVD STE 102
SEVIERVILLE TN
37862-6937
US

IV. Provider business mailing address

1101 FOX MEADOWS BLVD STE 102
SEVIERVILLE TN
37862-6937
US

V. Phone/Fax

Practice location:
  • Phone: 865-774-1442
  • Fax: 865-774-2938
Mailing address:
  • Phone: 865-774-1442
  • Fax: 865-774-2938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: STEVE KOPLOW
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 865-774-1442