Aspen Dental | |
4355 Keith St Nw Cleveland TN 37312-4818 | |
(315) 454-6000 | |
(315) 438-4483 |
Full Name | Aspen Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 4355 Keith St Nw, Cleveland, Tennessee |
Authorized Official Name and Position | Mika Weiss (PROVIDER RELATIONS) |
Authorized Official Contact | 3154546000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Aspen Dental 2102 Regency Ct Chattanooga TN 37421-7619 Ph: (315) 454-6000 | Aspen Dental 4355 Keith St Nw Cleveland TN 37312-4818 Ph: (315) 454-6000 |
NPI Number | 1467857524 |
---|---|
Provider Enumeration Date | 10/30/2014 |
Last Update Date | 10/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467857524 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS0000009785 (Tennessee) | Primary |
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