| Roberson Family Dental Pllc | |
|
1740 Big Springs Rd Maryville TN 37801-8206 | |
| (865) 681-7645 | |
| Not Available |
| Full Name | Roberson Family Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1740 Big Springs Rd, Maryville, Tennessee |
| Authorized Official Name and Position | Martin Willis Roberson (PRESIDENT) |
| Authorized Official Contact | 5044525122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roberson Family Dental Pllc 2001 Cawood Falls Ln Knoxville TN 37931-4065 Ph: (504) 452-5122 | Roberson Family Dental Pllc 1740 Big Springs Rd Maryville TN 37801-8206 Ph: (865) 681-7645 |
| NPI Number | 1548761711 |
|---|---|
| Provider Enumeration Date | 02/23/2018 |
| Last Update Date | 02/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548761711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8949 (Tennessee) | Primary |
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