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General NPI Number Information
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NPI Number | 1083415780
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Entity Type | Organization
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Legal Business Name | DIMITRIOS J. VARELDZIS DDS PLLC
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 215 CENTER PARK DR STE 900
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City | KNOXVILLE
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State | TN
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Zip | 37922-2176
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Country | US
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Telephone | 865-966-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 2399 PERSIMMON RDG
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City | LOUDON
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State | TN
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Zip | 37774-4773
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Country | US
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Telephone | 865-378-0095
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DENTIST
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Name | DR. DIMITRIOS J VARELDZIS
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Credential | DDS
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Telephone | 865-378-0095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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