Maryville Dental, Pllc. | |
1765 W Broadway Ave Maryville TN 37801-5509 | |
(865) 440-1526 | |
Not Available |
Full Name | Maryville Dental, Pllc. |
---|---|
Speciality | Clinic/center - Dental |
Location | 1765 W Broadway Ave, Maryville, Tennessee |
Authorized Official Name and Position | Amy Hughes (OFFICE MANAGER) |
Authorized Official Contact | 8654401526 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maryville Dental, Pllc. 7456 Ravencrest Ln Corryton TN 37721-3735 Ph: (865) 440-1526 | Maryville Dental, Pllc. 1765 W Broadway Ave Maryville TN 37801-5509 Ph: (865) 440-1526 |
NPI Number | 1336863257 |
---|---|
Provider Enumeration Date | 10/04/2022 |
Last Update Date | 10/04/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336863257 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 7 days ago
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