Provider Demographics
NPI:1083415780
Name:DIMITRIOS J. VARELDZIS DDS PLLC
Entity type:Organization
Organization Name:DIMITRIOS J. VARELDZIS DDS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DIMITRIOS
Authorized Official - Middle Name:J
Authorized Official - Last Name:VARELDZIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:865-378-0095
Mailing Address - Street 1:2399 PERSIMMON RDG
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-4773
Mailing Address - Country:US
Mailing Address - Phone:865-378-0095
Mailing Address - Fax:
Practice Address - Street 1:215 CENTER PARK DR STE 900
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2176
Practice Address - Country:US
Practice Address - Phone:865-966-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-20
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental