| Cda - Fort Sanders West | |
|
280 Fort Sanders West Blvd Ste 117 Knoxville TN 37922-3352 | |
| (865) 539-6030 | |
| (865) 539-6768 |
| Full Name | Cda - Fort Sanders West |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 280 Fort Sanders West Blvd Ste 117, Knoxville, Tennessee |
| Authorized Official Name and Position | Gary Michael Prince (INSURANCE COORDINATOR) |
| Authorized Official Contact | 8655396030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cda - Fort Sanders West 280 Fort Sanders West Blvd Ste 117 Knoxville TN 37922-3352 Ph: (865) 539-6030 | Cda - Fort Sanders West 280 Fort Sanders West Blvd Ste 117 Knoxville TN 37922-3352 Ph: (865) 539-6030 |
| NPI Number | 1104690924 |
|---|---|
| Provider Enumeration Date | 11/13/2023 |
| Last Update Date | 11/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104690924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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