| Organization Name: | LARRY E TRAGESSER DDS |
| NPI Number: | 1487847455 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SONYA SHERRILL (OFFICE MANAGER) |
| Mailing Address: | 9000 Kingston Pike Knoxville |
| State: | TN US |
| Postal Code: | 379235230 |
| Phone Number: | 8656931047 |
| Fax Number: | 8656936602 |
| NPI Enumeration Date: | 08/23/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 3038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |