MEDICARE: TURNER ORTHODONTICS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	8617	TN

General Provider Information

NPI Number	:	1780841049
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNER ORTHODONTICS PLLC

Provider Business Mailing Address
First Line	:	120 CAPITOL DR
Second Line	:	SUITE 104
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3475
Country	:	US
Telephone Number	:	865-357-7878
Fax Number	:	865-357-7874

Provider Business Practice Location Address
First Line	:	120 CAPITOL DR
Second Line	:	SUITE 104
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-3475
Country	:	US
Telephone Number	:	865-357-7878
Fax Number	:	865-357-7874

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT ANDREW TURNER
Credential	:	D.D.S
Telephone Number	:	865-357-7878

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	05/22/2008

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