Provider Demographics
NPI:1336545961
Name:LAW FAMILY DENTSITRY, PLLC
Entity Type:Organization
Organization Name:LAW FAMILY DENTSITRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MURIEL
Authorized Official - Middle Name:I
Authorized Official - Last Name:LAW
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-826-4441
Mailing Address - Street 1:11728 EDISON DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-3084
Mailing Address - Country:US
Mailing Address - Phone:865-560-2244
Mailing Address - Fax:865-560-2262
Practice Address - Street 1:10788 HARDIN VALLEY RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-1407
Practice Address - Country:US
Practice Address - Phone:865-560-2244
Practice Address - Fax:865-560-2262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN90141223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty