| Adult & Family Dentistry, Inc. | |
|
1740 Big Springs Rd Maryville TN 37801 | |
| (865) 681-7645 | |
| (865) 681-3488 |
| Full Name | Adult & Family Dentistry, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1740 Big Springs Rd, Maryville, Tennessee |
| Authorized Official Name and Position | Randall Ford (OWNER) |
| Authorized Official Contact | 8656817645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Family Dentistry, Inc. 1740 Big Springs Rd Maryville TN 37801 Ph: (865) 681-7645 | Adult & Family Dentistry, Inc. 1740 Big Springs Rd Maryville TN 37801 Ph: (865) 681-7645 |
| NPI Number | 1649345406 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 10/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649345406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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