| C Dennis Muse | |
|
75 Grand Avenue Copperhill TN 37317-0889 | |
| (423) 496-5503 | |
| (423) 496-9963 |
| Full Name | C Dennis Muse |
|---|---|
| Speciality | Dentist |
| Location | 75 Grand Avenue, Copperhill, Tennessee |
| Authorized Official Name and Position | C Dennis Muse (OWNER) |
| Authorized Official Contact | 4234965503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| C Dennis Muse Po Box 889 75 Grand Ave Copperhill TN 37317-0889 Ph: (423) 496-5503 | C Dennis Muse 75 Grand Avenue Copperhill TN 37317-0889 Ph: (423) 496-5503 |
| NPI Number | 1346482098 |
|---|---|
| Provider Enumeration Date | 03/27/2009 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346482098 | NPI | - | NPPES |
| 8996286 | Medicaid | NC | |
| 0014662 | Medicaid | GA | |
| 00307238A | Medicaid | GA | |
| 0014662 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |