Bristol Pediatric Dentistry Pllc | |
350 Blountville Hwy Suite 202 Bristol TN 37620-0213 | |
(423) 968-9661 | |
(423) 968-1593 |
Full Name | Bristol Pediatric Dentistry Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 350 Blountville Hwy, Bristol, Tennessee |
Authorized Official Name and Position | Todd Edward Pillion (OWNER) |
Authorized Official Contact | 4239689661 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bristol Pediatric Dentistry Pllc 350 Blountville Hwy Suite 202 Bristol TN 37620-0213 Ph: (423) 968-9661 | Bristol Pediatric Dentistry Pllc 350 Blountville Hwy Suite 202 Bristol TN 37620-0213 Ph: (423) 968-9661 |
NPI Number | 1184847329 |
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Provider Enumeration Date | 04/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184847329 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | DS8560 (Tennessee) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | DS2467 (Tennessee) | Secondary |
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