Provider Demographics
NPI:1992728836
Name:TRIVETTE, ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:TRIVETTE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANN
Other - Middle Name:TRIVETTE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2931 ESSARY DR
Mailing Address - Street 2:SUITE#1
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-2404
Mailing Address - Country:US
Mailing Address - Phone:865-687-3203
Mailing Address - Fax:865-687-3299
Practice Address - Street 1:2931 ESSARY DR
Practice Address - Street 2:SUITE#1
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-2404
Practice Address - Country:US
Practice Address - Phone:865-687-3203
Practice Address - Fax:865-687-3299
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5028122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist