Provider Demographics
NPI:1326141524
Name:NATIONS, PAUL B (DDS)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:B
Last Name:NATIONS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9221 MIDDLEBROOK PIKE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-4764
Mailing Address - Country:US
Mailing Address - Phone:865-693-6933
Mailing Address - Fax:
Practice Address - Street 1:9221 MIDDLEBROOK PIKE
Practice Address - Street 2:SUITE 201
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-4764
Practice Address - Country:US
Practice Address - Phone:865-693-6933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7424122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist