| Blue Ridge Family Dentistry Dpc | |
|
824 W Lamar Alexander Pkwy Maryville TN 37801-4578 | |
| (865) 379-7004 | |
| Not Available |
| Full Name | Blue Ridge Family Dentistry Dpc |
|---|---|
| Speciality | Dentist |
| Location | 824 W Lamar Alexander Pkwy, Maryville, Tennessee |
| Authorized Official Name and Position | Molly K Harriss (DIRECTOR) |
| Authorized Official Contact | 8653797004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Family Dentistry Dpc 824 W Lamar Alexander Pkwy Maryville TN 37801-4578 Ph: (865) 379-7004 | Blue Ridge Family Dentistry Dpc 824 W Lamar Alexander Pkwy Maryville TN 37801-4578 Ph: (865) 379-7004 |
| NPI Number | 1730462458 |
|---|---|
| Provider Enumeration Date | 09/20/2011 |
| Last Update Date | 12/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730462458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7985 (Tennessee) | Primary |
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