Bristol Dental Group, Pc | |
332 6th St Bristol TN 37620-2201 | |
(423) 989-3000 | |
Not Available |
Full Name | Bristol Dental Group, Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 332 6th St, Bristol, Tennessee |
Authorized Official Name and Position | Jason Pittman (PRESIDENT) |
Authorized Official Contact | 4239893000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bristol Dental Group, Pc 332 6th St Bristol TN 37620-2201 Ph: () - | Bristol Dental Group, Pc 332 6th St Bristol TN 37620-2201 Ph: (423) 989-3000 |
NPI Number | 1649567025 |
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Provider Enumeration Date | 07/06/2011 |
Last Update Date | 07/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649567025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS8239 (Tennessee) | Primary |
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