Provider Demographics
NPI:1154685675
Name:TUTWILER, ALLISON SYKLAWER (DMD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:SYKLAWER
Last Name:TUTWILER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 532
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37815-0532
Mailing Address - Country:US
Mailing Address - Phone:423-621-8420
Mailing Address - Fax:
Practice Address - Street 1:4651 W ANDREW JOHNSON HWY
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-1039
Practice Address - Country:US
Practice Address - Phone:423-621-8420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2019-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000010920122300000X
ALD5947C11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Yes122300000XDental ProvidersDentist