NPI 1821586793

Nicholas John Ledderhof, BSCHDDSMSCFRCD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Knoxville, TN

Practice location

Address: 1930 Alcoa Hwy. Medical Building A, Suite 335, Knoxville, TN 37920-1514
Phone: (865) 305-9022
Fax: (865) 305-9026

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 88428 (ZZ)

Other Oral & Maxillofacial Surgery providers in Tennessee →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1821586793
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2018
Record last updated: 21 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.