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:
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. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.