Provider Demographics
NPI:1801391115
Name:GINART, MONICA TAIN (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:TAIN
Last Name:GINART
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:TAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1213 HAMSTEAD CT
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-6081
Mailing Address - Country:US
Mailing Address - Phone:305-505-3470
Mailing Address - Fax:
Practice Address - Street 1:2014 W BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-5404
Practice Address - Country:US
Practice Address - Phone:865-724-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN112691223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics