Provider Demographics
NPI:1033135546
Name:ARROWOOD, JEFFERY B (DMD)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:B
Last Name:ARROWOOD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10261 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3276
Mailing Address - Country:US
Mailing Address - Phone:865-691-1404
Mailing Address - Fax:865-691-0836
Practice Address - Street 1:10261 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3276
Practice Address - Country:US
Practice Address - Phone:865-691-1404
Practice Address - Fax:865-691-0836
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN98581223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ019188Medicaid