| Country Creek Dental Pllc | |
|
207 Kings Ct Alcoa TN 37701-1939 | |
| (865) 983-6361 | |
| Not Available |
| Full Name | Country Creek Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 207 Kings Ct, Alcoa, Tennessee |
| Authorized Official Name and Position | Nathan La Monica (DENTIST) |
| Authorized Official Contact | 7752910075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Country Creek Dental Pllc 7605 Gilmore Ln Corryton TN 37721-4128 Ph: (775) 291-0075 | Country Creek Dental Pllc 207 Kings Ct Alcoa TN 37701-1939 Ph: (865) 983-6361 |
| NPI Number | 1306357447 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 10/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306357447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10031 (Tennessee) | Primary |
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