Miss Tara Helen Ericson is a Kingston, Tennessee based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Miss Tara Helen Ericson is
9108 for Dentistry in Tennessee. Her current practice location is
1212 North Kentucky St, Kingston. Patients can reach her at
865-717-3586.
Miss Tara Helen Ericson is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Miss Tara Helen Ericson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Miss Tara Helen Ericson |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1212 North Kentucky St, Kingston,
Tennessee, 37763-2328 |
| Phone: | 865-717-3586 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1598921827 |
| NPI Enumeration Date: | 06 Aug, 2008 |
| NPI Last Update On: | 26 Sep, 2012 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Miss Tara Helen Ericson are as mentioned below.
| License Number | Specialization | State | Status | |
| 9108 | Dentistry | Tennessee | Primary | |
| 57389 | Dentistry | California | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Miss Tara Helen Ericson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1518433 | Medicaid | Tennessee | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1203 Old North Kentucky St,
Kingston, Tennessee |
| Zip: | 37763-2028 |
| Phone Number: | 865-717-3586 |
Patients can reach Miss Tara Helen Ericson at
1212 North Kentucky St, Kingston, Tennessee or can
call to book an appointment on 865-717-3586.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.