Provider Demographics
NPI:1447378864
Name:HARRELL, DONALD R (DDS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:R
Last Name:HARRELL
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 1:6700 BAUM DR
Mailing Address - Street 2:SUITE 11
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919
Mailing Address - Country:US
Mailing Address - Phone:865-588-0535
Mailing Address - Fax:865-584-0963
Practice Address - Street 1:6700 BAUM DR
Practice Address - Street 2:SUITE 11
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919
Practice Address - Country:US
Practice Address - Phone:865-588-0535
Practice Address - Fax:865-584-0963
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3254122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist