Provider Demographics
NPI:1174419360
Name:TERUEL, EVELYN JEAN (DMD)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:JEAN
Last Name:TERUEL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:EVIE
Other - Middle Name:
Other - Last Name:HAASBROEK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1534 GREENBRIER RIDGE WAY APT 1507
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-3397
Mailing Address - Country:US
Mailing Address - Phone:864-354-1311
Mailing Address - Fax:
Practice Address - Street 1:7315 CLINTON HWY
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-5225
Practice Address - Country:US
Practice Address - Phone:865-509-8782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12804122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist