| 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 |
|---|---|
| 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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