Provider Demographics
NPI:1942284732
Name:TOWNSEND, JOSEPH REED III (DDS)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:REED
Last Name:TOWNSEND
Suffix:III
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 1:1932 OAKLEIGH WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-8995
Mailing Address - Country:US
Mailing Address - Phone:865-766-0026
Mailing Address - Fax:
Practice Address - Street 1:705 GATE LN
Practice Address - Street 2:SUITE 101
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-3518
Practice Address - Country:US
Practice Address - Phone:865-522-5437
Practice Address - Fax:865-588-1862
Is Sole Proprietor?:No
Enumeration Date:2005-12-05
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000082031223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5440289Medicaid