Provider Demographics
NPI:1386754091
Name:HOVIOUS, LEE ANN (DMD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:ANN
Last Name:HOVIOUS
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 1:10265 KINGSTON PIKE STE B
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-3241
Mailing Address - Country:US
Mailing Address - Phone:865-539-1113
Mailing Address - Fax:865-539-0576
Practice Address - Street 1:10265 KINGSTON PIKE STE B
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3241
Practice Address - Country:US
Practice Address - Phone:865-539-1113
Practice Address - Fax:865-539-0576
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000052991223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics